CHERYL LIN KENNON (NPI# 1285988683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285988683 |
| Entity Type | Individual |
| Full Name | CHERYL LIN KENNON |
| Practice Address |
320 Medlock St Wilburton OK 74578 |
| Practice Telephone | 9188414268 |
| Mailing Telephone | 9188414268 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
320 MEDLOCK ST |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| 1629293006 | Ruby A Riley | Counselor | 113 W Ada Ave, Wilburton, OK 74578-2416 | 2007-04-13 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051963 | Omnicare365, Inc. | Contractor | 3588 Tom Smith Rd, Durant, OK 74701-6025 | 2020-07-29 |
| 1639700214 | Tohnyonah Jackson | Contractor | 7500 Knight Lake Dr Apt 123, Oklahoma City, OK 73132-6019 | 2020-01-31 |
| 1427693019 | Embrace Life, LLC | Contractor | 8521 Arlington Dr, Oklahoma City, OK 73132-4752 | 2019-11-07 |
| 1013558725 | Antwone Robinson | Contractor | 4407 Sw Hickory Ln, Lawton, OK 73505-7506 | 2019-10-03 |
| 1487200549 | Jason Alexander Cortes | Contractor | 2717 Nw Denver Ave, Lawton, OK 73505-3942 | 2019-08-14 |
| 1104485747 | Clayton Lucas | Contractor | 224 Springtree Dr, Harrah, OK 73045-4517 | 2019-06-07 |
| 1861059388 | 15th Street Clinic | Contractor | 180 W 15th St Ste 100, Edmond, OK 73013-3601 | 2019-05-20 |
| 1336615046 | Jera D Burtin | Contractor | 220 N Moreland Ave, Watonga, OK 73772-4038 | 2018-10-19 |
| 1346734282 | Sherry Deanne Ramsey | Contractor | 714 S Mcdonald St, Stillwater, OK 74074-4213 | 2018-06-14 |
| 1851897474 | Jami Michelle Reed | Contractor | 2256 Nw 164th, Edmond, OK 73013-1227 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.