Kenan Kirkendall, D.O., PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENAN KIRKENDALL, D.O., PC

Practice address

4900 Oklahoma Ave
Woodward, OK 73801-3713

Phone

(580) 254-5316

Fax

(580) 256-6508

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Campbell

Title

Office Manager

Phone

(580) 254-5316

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5516/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaci Ranea Hodges, PA-C

  • Physician Assistant
  • Woodward, OK
  • NPI 1740848878
  Medicare reassignment Care Compare group
• Kenan Kirkendall, D.O.

  • Family Medicine Physician
  • Woodward, OK
  • NPI 1316949563
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1396890034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013713",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013713",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAN KIRKENDALL, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-254-5316"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Jones, OD
• Jessica Rayleen Jones, APRN-CNP
• Mary Nicole Jones
• Kim Jean Keepers
• Patrick F Kelly, D.O.
• Janet Ketron, MA, CCC-SLP
• Alison Kincannon, LPC-C
• Audrey Deanne Kincannon
• Clayton Kincannon, PTA
• Kindstar, Inc. (Accolade Home Care)

• Family Medicine Physician in Woodward, OK
• Providers in Woodward, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.