Dr. Elaine Kennedy
Adolescent Medicine and 2 more
100 S Bliss Ave Pediatrics Clinic
Tahlequah
, Oklahoma 74464-2512
Dr. Elaine Kennedy
Adolescent Medicine and 2 more
100 S Bliss Ave Pediatrics Clinic
Tahlequah
, Oklahoma 74464-2512
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Elaine Kennedy
- 1390 Heritage Ln Pleasant View Apts # 92
- Tahlequah, OK
- Zip : 74464-2136
- Phone :
Second Address
- Dr. Elaine Kennedy
- 100 S Bliss Ave Pediatrics Clinic
- Tahlequah, OK
- Zip : 74464-2512
- Phone : (918) 458-3120
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FAQs
Where did Dr. Elaine Kennedy attend graduate school?
Where did Dr. Elaine Kennedy do her residency?
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Is Dr. Elaine Kennedy board certified?
What type of doctor is Dr. Elaine Kennedy
In what state does Dr. Elaine Kennedy practice in?
Where is Dr. Elaine Kennedy ’s practice located?
What is Dr. Elaine Kennedy ’s gender?
Is Dr. Elaine Kennedy a sole practitioner?
Is Dr. Elaine Kennedy accepting new patients?
What languages does Dr. Elaine Kennedy speak?
Does Dr. Elaine Kennedy accept insurance?
Does Dr. Elaine Kennedy offers telemedicine?
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What is Dr. Elaine Kennedy ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080A0000X | Adolescent Medicine | 00022200 | AL |
| Y | 2080A0000X | Adolescent Medicine | 044765 | GA |
| N | 2080A0000X | Adolescent Medicine | 21310 | SC |
| N | 2080A0000X | Adolescent Medicine | 22124 | WV |
| N | 2080A0000X | Adolescent Medicine | 34616 | KY |
| N | 2080A0000X | Adolescent Medicine | MD0000010129 | TN |
National Provider Identifier
| NPI | 1083634935 |
|---|---|
| Provider Name | Dr. Elaine Kennedy |
| First Address | Tahlequah, OK 74464-2136 |
| Second Address | Tahlequah, OK 74464-2512 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 06/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B03066 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.