| Doctor Name: | KENDRA DIANE ROUND |
| NPI Number: | 1033459763 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 92642 |
| Business Practice Address: | 1001 S 41st St E Muskogee, OK - 744036253 |
| Business Phone Number: | 9186870201 |
| Business Fax Number: | |
| Mailing Address: | 708 Se 3rd St, CHECOTAH |
| State: | OK |
| Postal Code: | 744265028 |
| Phone Number: | 9184414120 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2013 |
| NPI Last Update Date: | 02/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 92642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |