Allie Kennedy
Allie Kennedy is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2021, 5 years ago. Practices with St John Physicians, Inc, a 264-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 5
- Licensed in
- OK
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Tulsa, OKNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 9211 E 93rd Pl, Tulsa, OK 74133-5612 — (918) 606-8530
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 4763 (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1689216251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2019 |
| Last updated in NPPES | March 24, 2022 |
| Certification date | March 24, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St. John Physicians, Inc. — 264 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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