Kenna Joan Ault, MOT, OTR is a
Occupational Therapist based in Grove, Oklahoma. Kenna Joan Ault is licensed to practice in Missouri (license number 00375) and her current practice location is
63095 E 293 Rd, Grove, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 787-6564.
NPI number for Kenna Joan Ault is 1700930203 and her current mailing address is 63095 E 293 Rd, Grove, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700930203.
Healthcare Provider's Profile
| Full Name | Kenna Joan Ault |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 63095 E 293 Rd, Grove, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700930203
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 06/09/2008
Medical Identifiers
Medical identifiers for Kenna Joan Ault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700930203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 00375 (Missouri) | Primary |
| 225X00000X | Occupational Therapist | 17-0119 (Kansas) | Secondary |
| 225X00000X | Occupational Therapist | 857 (Oklahoma) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenna Joan Ault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kenna Joan Ault, MOT, OTR 63095 E 293 Rd, Grove, OK 74344-6013 Ph: (918) 787-6564 | Kenna Joan Ault, MOT, OTR 63095 E 293 Rd, Grove, OK 74344-6013 Ph: (918) 787-6564 |
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