Provider Demographics
NPI:1083152771
Name:HURLEY, KENDALL (CRNA)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:HURLEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:
Other - Last Name:STUHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3650 W ROCK CREEK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-2202
Mailing Address - Country:US
Mailing Address - Phone:405-701-3418
Mailing Address - Fax:405-701-3451
Practice Address - Street 1:3650 W ROCK CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2202
Practice Address - Country:US
Practice Address - Phone:405-701-3418
Practice Address - Fax:405-701-3451
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS115706367500000X
OK96622367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered