DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNEDY ROSE

Active Sole Proprietor

Peer Specialist · SHAWNEE, OK

Registration Details

NPI Number
1770936270
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2016 (9.7551729650142 yrs)
Last Updated
Jul 20, 2016
Sole Proprietor
Yes

Practice Information

Address
1010 E 45TH ST
SHAWNEE, OK, 748042202
Browse OK providers · Browse ZIP 74804
Phone
4052731170
Fax
4052755132
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SHAWNEE, OK

Name Credential NPI
RICHARD SITTON 1356706600
MRS. ANDREA SCRAPER 1891248605
MR. JAMES FRANKLIN SMITH JR. 1801345640
CARISSA MENEFEE 1417493214
THOMAS RIGGIN FLEMING 1053831123
MRS. KATHLEEN JANE MADRON 1174013767
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.