KENDALL W. SOUTHERN D.O., D.PH. – NPI #1407917792
Psychiatry & Neurology

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.

KENDALL SOUTHERN is a psychiatry & neurologist located in VINITA, OK. NPPES has assigned the NPI number 1407917792 to KENDALL SOUTHERN on December 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 15 years ago on Oct 17, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENDALL SOUTHERN below.

NPI Profile for
KENDALL W. SOUTHERN

NPI Number
1407917792
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENDALL W. SOUTHERN
Credentials
D.O., D.PH.
Primary location
24800 S 4420 RD
VINITA, OK 74301
Phone: (918) 256-7841 Fax: (918) 256-2952
Mailing address
PO BOX 69
VINITA, OK 74301-0069
Phone: (918) 261-3612 Fax: (918) 256-2952
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KENDALL SOUTHERN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK100124360A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
MI 5101009836
207Q00000X
- Family Medicine
OK 2333
183500000X
- Pharmacist
OK 9440

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.