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KENNEDY PATTERSON
NPI 1245125228
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 10, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennedy Patterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY PATTERSON (NPI 1245125228) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1245125228
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY PATTERSON
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1206 Crystal LnTahlequah, OK 74464-4254 · (918) 607-1282
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1245125228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Patterson's NPI number?

The NPI number for Kennedy Patterson is 1245125228. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kennedy Patterson located?

Kennedy Patterson practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Kennedy Patterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Patterson was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.