Kennadi Lynn Ingram

Case Manager/Care Coordinator · Antlers, OK

Individual Active NPI

NPI number 1336004977

Practice location

195674 N 4270 Rd
Antlers, OK 74523-7100
Phone
(580) 743-6991

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NPI record

NPI
1336004977
Entity type
Individual (Type 1)
Enumeration date
December 17, 2025
Last updated
December 17, 2025
Certified
December 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — OK

About Kennadi Ingram

Kennadi Lynn Ingram is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 195674 N 4270 Rd, Antlers, OK 74523-7100. The NPI number 1336004977 was assigned on December 17, 2025 and the record was last updated on December 17, 2025.

Frequently asked questions

What is the NPI number of Kennadi Lynn Ingram?

The NPI number is 1336004977.

What is the phone number of Kennadi Ingram?

The phone number listed for the practice location is (580) 743-6991.

Where is Kennadi Ingram located?

195674 N 4270 Rd, Antlers, OK 74523-7100.

What is the taxonomy code for Kennadi Ingram?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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