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Dr. Kendall Wayne Southern, DO,DPH
Psychiatry Physician in Vinita, Oklahoma
NPI 1407917792

Kendall Wayne Southern is a Psychiatry Physician based in Vinita, OK and is specialized in Psychiatry. Kendall Wayne Southern practices in Vinita, OK and has the professional credentials of DO,DPH. The NPI Number for Kendall Wayne Southern is 1407917792 and holds a License No. 9440 (Oklahoma).

The current practice location address for Kendall Wayne Southern is 24800 S 4420 Rd, Vinita, OK and can be reached out via phone at 918-256-7841 and via fax at 918-256-2952. You can also correspond with Kendall Wayne Southern through the mailing address at PO BOX 69, VINITA, OK - 74301-0069 (mailing address contact number: 918-261-3612).

Location: 24800 S 4420 Rd, Vinita, OK, 74301-0069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407917792
Provider Name
Kendall Wayne Southern
Credential
DO,DPH
Provider Entity Type
Individual
Gender
Male
Address
24800 S 4420 Rd, Vinita, OK, 74301-0069
Phone Number
918-256-7841
Fax Number
918-256-2952
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100124360A 05 OK
institution
Provider Business Practice Location Address Details
Address
24800 S 4420 Rd
City
Vinita
State
Oklahoma
Zip
74301
Phone Number
918-256-7841
Fax Number
918-256-2952
person
Provider Business Mailing Address Details
Address
Po Box 69
City
Vinita
State
Oklahoma
Zip
74301-0069
Phone Number
918-261-3612
Fax Number
918-256-2952
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2333 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2333 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
9440 (Oklahoma)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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