| NPI | 1396890034 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-24 |
| Last Updated | 2012-09-27 |
| Authorized Official | Kenan Kirkendall Physician Phone: 5802545316 |
| Mailing Address | 1501 Main St Woodward, OK 73801-3043 United States Phone: (580) 254-5316 | Fax: (580) 256-6508 📍 View Map |
| Primary Practice Address | 1501 Main St Woodward, OK 73801-3043 United States Phone: (580) 254-5316 | Fax: (580) 256-6508 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100256120A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | - | - |
| No | 208000000X – Pediatrics | - | - |
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1396890034
Kenan Kirkendall, D.o., Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396890034. The primary specialty listed is Family Medicine. The organization is located in Woodward, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396890034?
NPI 1396890034 belongs to Kenan Kirkendall, D.o., Pc, a Family Medicine in Woodward, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396890034 active?
The current status of NPI 1396890034 in the NPPES registry is Active. The record was last updated on 2012-09-27.
What specialty is NPI 1396890034?
NPI 1396890034 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396890034?
You can verify NPI 1396890034 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396890034?
The primary practice address on file for NPI 1396890034 is 1501 Main St, Woodward, OK 73801-3043. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396890034 issued?
NPI 1396890034 was first issued (enumerated) on 2007-01-24. The NPPES record was last updated on 2012-09-27.
Practice Location Map
Kenan Kirkendall, D.o., Pc is located at 1501 Main St, Woodward, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kenan Kirkendall, D.o., Pc. All records sourced from the CMS NPPES registry.