Sharlyn Kennon
Individual provider Active NPI Community Health Worker · Stroud, OK
NPI 1851665780 · NPPES record last updated Feb 23, 2012
Key facts
- NPI
- 1851665780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 356110 E 930 Rd
Stroud, OK 74079-5184 - Phone
- (918) 968-9531
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
356110 E 930 Rd
Stroud, OK 74079-5184
Mailing address
356110 E 930 Rd
Stroud, OK 74079-5184
Other providers in Stroud, OK
- Toby Hill
- Jennifer Hinman
- Bronwyn L Howard
- Eugene M Hoyt
- Cierra R Keffer
- Gary R. Kindell
- Rosa Dawn Kinslow
- John Kropiewnicki
- Cierra Dawn Layman
- Stacey Michelle Leathers
All providers in Stroud, OK · Community Health Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.