Nicollette Kennedy
Nicollette Kennedy is a Prevention Professional in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.
- Licensed in
- OK
- In the registry since
- 2024
Practice location Address checks out
16414 W 760 RdTahlequah, OK 74464-1675
Phone: (918) 822-1191
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prevention Professional (primary) | Taxonomy 405300000X · Licence K083179009 (OK) |
|---|
Record details
| NPI number | 1578303574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 28, 2024 |
| Last updated in NPPES | May 28, 2024 |
| Certification date | May 28, 2024 |
| Mailing address | 16414 W 760 Rd, Tahlequah, OK 74464-1675 |