Diana L Kendrick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0027249 Issued in OK

Practice address

3319 SE Cravens Rd
Wilburton, OK 74578-5552

Phone

(918) 917-3576

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1497640296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014282",
            "telephone_number": "918-715-0520",
            "fax_number": "918-577-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SE CRAVENS RD",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745785552",
            "telephone_number": "918-917-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0027249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Edward Ingram, D.C.
• Stephenie Renee Ingram, CNP-FAMILY
• Melonie Jackson
• Debra Ann Jacobs
• Daryl Jones, LPC
• Cheryl Lin Kennon
• Ki Bois Community Action Foundation
• Kiamichi Economic Development District of Oklahoma
• Heather Renee Killingsworth
• Amara Leigh Kirkes

• Licensed Practical Nurse in Wilburton, OK
• Providers in Wilburton, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.