NPI
Kentrell L Gaddis
NPI 1841557881
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2012-04-16
- Last updated
- 2012-04-16
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Specialties
Licenses
- License OK
- M999910701
Location
- Practice location
- 4026 NE 19th Circle
- City
- Okc OK
- Postal code
- 73121-4604
- Phone
- (405) 589-9260
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Okc, OK. 96 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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