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

Kennedi Elizabeth Puckett, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861197295

Kennedi Elizabeth Puckett, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2022, 4 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Oklahoma City, OK

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861197295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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