Dr. Elaine Kennedy
M.D. | Pediatric Adolescent Medicine | Female
Dr. Elaine Kennedy, M.D. is a Tahlequah, Oklahoma based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Elaine Kennedy is
100 S Bliss Ave, Pediatrics Clinic, Tahlequah, Oklahoma - 74464-2512. She can be contacted on phone at
918-458-3120.
Dr. Elaine Kennedy is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Elaine Kennedy is
1083634935 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 06 Jan, 2011.
Dr. Elaine Kennedy license number is
044765 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Dr. Elaine Kennedy specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Elaine Kennedy basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Elaine Kennedy |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Elaine Kennedy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 S Bliss Ave, Pediatrics Clinic
Tahlequah, OK, 74464-2512
United States |
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| Phone Number : | 918-458-3120 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083634935 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 06 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elaine Kennedy are as mentioned. Primary taxonomy code for Dr. Elaine Kennedy, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | No | 22124 | WV |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 34616 | KY |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 21310 | SC |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 00022200 | AL |
| 2080A0000X | Pediatrics Adolescent Medicine | No | MD0000010129 | TN |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 044765 | GA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1390 Heritage Ln, Pleasant View Apts # 92
Tahlequah, OK, 74464-2136
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Elaine Kennedy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.