Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENDALL WAYNE SOUTHERN, D.O., D.PH.
Active Sole ProprietorDR. KENDALL WAYNE SOUTHERN, D.O., D.PH. is a Psychiatry healthcare provider located in VINITA, Oklahoma. NPI 1407917792 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · VINITA, OK
Registration Details
- NPI Number
- 1407917792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.678578794551 yrs)
- Last Updated
- Oct 17, 2011
- Licenses
-
9440 (OK)2333 (OK)2333 (OK)H9426 (TX)DO-641 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24800 S 4420 RDVINITA, OK, 74301Browse OK providers · Browse ZIP 74301
- Phone
- 9182567841
- Fax
- 9182562952
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in VINITA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. AMAM Z SALEH | MD | 1144396896 |
| MRS. SATWANT TANDON | MD | 1457414617 |
| NAZISH SARFRAZ | M.D. | 1750597308 |
| DR. MICHAEL ALLEN NUGENT | M.D. | 1598032914 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.