Pettit, Kendra

Pettit, Kendra is an sole proprietor health care provider with primary practice located at 600 N Grand Ave , Tahlequah OK 74464-2301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Pettit, Kendra can be contacted via phone (918) 444-3921.

Contact Information

Primary practice address
600 N Grand Ave Tahlequah OK 74464-2301
Phone: (918) 444-3921
Fax: (918) 444-3954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 944 Oklahoma

Profile Details

NPI number 1427581958
LBN Legal business name Pettit, Kendra
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2017
Last updated Apr 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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