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

KENNEDI ELIZABETH PUCKETT, PA

Active Sole Proprietor

KENNEDI ELIZABETH PUCKETT, PA is a Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1861197295 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1861197295
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2023 (3.3188733007446 yrs)
Last Updated
Jul 30, 2024
Sole Proprietor
Yes

Practice Information

Address
1110 N LEE AVE STE 300
OKLAHOMA CITY, OK, 731032612
Browse OK providers · Browse ZIP 73103
Phone
4052313000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
SUSAN D WORSHAM PA 1245233113
MR. ROGER D HELLWEGE PA-C 1295738110
MICHAEL A THAYER PA 1558364422
JEFFREY D MARTENS PA 1659374049
GREGORY W DINWIDDIE PAC 1578567848
KENDALL LEIGH PHILLIPS PA 1306840327
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.