Diana L Kennedy,MD Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIANA L KENNEDY,MD INC

Practice address

4205 McAuley Blvd Ste 420
Oklahoma City, OK 73120-8347

Phone

(405) 751-6117

Fax

(405) 751-0479

NPI assigned

Jan 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana D Cavazos, MA

Title

Medical Assistant

Phone

(405) 751-6117

Specialties & licenses 1

Addresses

Other names 1

• Diana L Kennedy,MD inc Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1154073765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 MCAULEY BLVD STE 420",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208347",
            "telephone_number": "405-751-6117",
            "fax_number": "405-751-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 MCAULEY BLVD STE 420",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208347",
            "telephone_number": "405-751-6117",
            "fax_number": "405-751-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA L KENNEDY,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "405-751-6117",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana L Kennedy,MD inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Diana Oconnor DO PC
• Diana Tamboli MD LLC
• Dianne B Gasbarra MD PLLC
• Dianon Systems Inc
• Leanne Rachelle Dias Da Silva, MD

• Endocrinology, Diabetes & Metabolism Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.