Kendra Burnside LCSW Inc PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW Issued in OK

Legal business name

KENDRA BURNSIDE LCSW INC PC

Practice address

2100 N Broadway Ave
Ada, OK 74820-1048

Phone

(580) 436-7120

Fax

(580) 436-7121

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kendra Burnside, LCSW

Title

LCSW

Phone

(580) 436-7120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1316196405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120",
            "fax_number": "580-436-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748201048",
            "telephone_number": "580-436-7120",
            "fax_number": "580-436-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA BURNSIDE LCSW INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "580-436-7120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed R. Kayyali, DDS
• Bonnie Keeley, MS, LPC
• Lesley Nicole Keesee, APRN
• Jennifer Kellner
• Brendan Kellogg, B.A.
• Candice M Keyes, PH.D
• William Thomas Keyser
• Susan Wangari Kibe, APRN
• Minhtrang Ngoc Kieu, MD
• Elizabeth M Kilmer-Sterling, CNM

• Community/Behavioral Health Agency in Ada, OK
• Providers in Ada, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.