Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elaine Kennedy, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1083634935

Dr. Elaine Kennedy, MD is a Pediatric Adolescent Medicine Physician in Tahlequah, Oklahoma. Licensed in Alabama, Georgia, Kentucky and South Carolina and 2 more. Registered with an NPI since 2006.

Licensed in
AL, GA, KY, SC, TN, WV
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 S Bliss Ave Pediatrics Clinic
Tahlequah, OK 74464-2512
Phone: (918) 458-3120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 044765 (GA)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 22124 (WV)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 34616 (KY)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 21310 (SC)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 00022200 (AL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence MD0000010129 (TN)

Record details

NPI number1083634935
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 6, 2011

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