Cheryl Lin Kennon

NPI #1285988683 in Wilburton, Oklahoma

Provider Information

NPI Number: 1285988683
Entity Type: Individual
Name: Cheryl Lin Kennon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 320 MEDLOCK ST
City: Wilburton
State: Oklahoma
ZIP Code: 74578
Phone: (918) 841-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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