| Bruce E Kennedy, CRNA | |
|
415 W Gray St, Norman, OK 73069-7117 | |
| (405) 364-6182 | |
| (405) 364-5379 |
| Full Name | Bruce E Kennedy |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 415 W Gray St, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093742157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 52074 (Oklahoma) | Primary |
| Entity Name | Norman Anesthesia Providers, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881652667 PECOS PAC ID: 4385536333 Enrollment ID: O20040325001436 |
| Entity Name | Nga Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134408701 PECOS PAC ID: 0143494534 Enrollment ID: O20111121000888 |
| Entity Name | Norman Regional Providers Specialty Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548513773 PECOS PAC ID: 5496900706 Enrollment ID: O20130312000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce E Kennedy, CRNA 415 W Gray St, Norman, OK 73069-7117 Ph: (405) 364-6182 | Bruce E Kennedy, CRNA 415 W Gray St, Norman, OK 73069-7117 Ph: (405) 364-6182 |
Jennifer Leigh Fleck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Darren Todd Gose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Randy A Rogers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1125 N Porter Ave Ste 301, Norman, OK 73071 Phone: 405-307-1000 | |
Kendall Hurley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd Ste 101, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Deanne Lynn Givens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Jason Ray Falconer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 |