| NPI | 1154073765 |
|---|---|
| Former Legal Business Name | DIANA L KENNEDY,MD INC |
| Entity Type | Organization |
| Authorized Contact | DANA D CAVAZOS Medical Assistant 405-751-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |