Most Relevant Information
Provider Data
| NPI Number: | 1003393778 |
| Provider Name: | KANDRA DODD APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 80748 |
Most Important Dates
| Enumeration Date: | 07/25/2018 |
| Last Updated: | 12/29/2023 |
Provider Practice Location
511 E CHOCTAW AVE
MCALESTER
OK
745015031
Practice Location Phone/Fax
| Phone: | 5805799947 |
| Fax: |
Provider Mailing Location
PO BOX 92
KENEFIC
OK
747480092
Provider Mailing Phone/Fax
| Phone: | 5805799947 |
| Fax: |