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Kendall Southern, D.O., D.PH
NPI 1407917792 · on the registry since 2006 · sole proprietor
Practice
- Address
- 24800 S 4420 Rd
Vinita, OK 74301 - Phone
- (918) 256-7841
- Fax
- (918) 256-2952
- Organisation at this address
- Oklahoma Forensic Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 183500000X
207Q00000X
Psychiatry
Psychiatry
Psychiatry
Psychiatry - Licence states on file
- OK, TX, AL, GA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma