Elaine Kennedy in Tahlequah - Adolescent Medicine
Elaine Kennedy - NPI 1083634935
Elaine Kennedy is a Adolescent Medicine in Tahlequah, Oklahoma. Elaine Kennedy practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Elaine Kennedy is 1083634935. The last update date is 2011-01-06.
Elaine Kennedy's current location address is 100 S Bliss Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184583120. The mailing address for Elaine Kennedy is 100 S Bliss Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Kennedy |
|---|---|
| Address | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Phone Number | 9184583120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083634935 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2011-01-06 |
Provider Mailing Address Detail
| Address | 100 S Bliss Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744642512 |
| Phone Number | 9184583120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 22124 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the Elaine Kennedy's unique identification number?
The Elaine Kennedy has been assigned the NPI (National Provider Identifier) Number 1083634935 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Elaine Kennedy's facilities are geographically located?
The facilities of Elaine Kennedy are physically situated at the following location: 100 S Bliss Ave, Tahlequah, OK, 744642512.
What is the area of specialization for Elaine Kennedy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elaine Kennedy is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Elaine Kennedy receive its 1083634935 assignment from the Centers for Medicare & Medicaid Services?
The Elaine Kennedy was assigned its 1083634935 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the details pertaining to Elaine Kennedy last refreshed?
The information related to the Elaine Kennedy, including its address, specialty, and other relevant details, was last updated on 2011-01-06.
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