Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kendall Wayne Southern, DO, DPH

Individual provider Pharmacist · NPI 1407917792

Dr. Kendall Wayne Southern, DO, DPH is a Pharmacist in Vinita, Oklahoma. Practices as a sole proprietor. Licensed in Alabama, Georgia, Michigan and Oklahoma and 1 more.

Licensed in
AL, GA, MI, OK, TX
In the registry since
2006
Specialties on file
7
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

24800 S 4420 Rd
Vinita, OK 74301
Phone: (918) 256-7841
Fax: (918) 256-2952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2333 (OK)
Pharmacist Taxonomy 183500000X · Licence 9440 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2333 (OK)
Psychiatry Physician Taxonomy 2084P0800X · Licence H9426 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence DO-641 (AL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 48464 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5101009836 (MI)

Record details

NPI number1407917792
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , DPH
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESOctober 17, 2011
Mailing addressPo Box 69, Vinita, OK 74301-0069

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