Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY OTIENO OYALO
Active Sole ProprietorKENNEDY OTIENO OYALO is a Community/Behavioral Health healthcare provider located in FLORENCE, Arizona. NPI 1457036337 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · FLORENCE, AZ
Registration Details
- NPI Number
- 1457036337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2023 (3.1935735973422 yrs)
- Last Updated
- Jun 26, 2023
- Licenses
-
11745797 (AZ)11745797 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9858 E HAY LOFT DRFLORENCE, AZ, 851327369Browse AZ providers · Browse ZIP 85132
- Phone
- 4805783995
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Specialist
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.