Provider Demographics
NPI:1629170832
Name:DENNEHY, LUKE JOSEPH (RN)
Entity Type:Individual
Prefix:MR
First Name:LUKE
Middle Name:JOSEPH
Last Name:DENNEHY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:LUKE
Other - Middle Name:JOSEPH
Other - Last Name:DENNEHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:6128 E. 38 STREET
Mailing Address - Street 2:305
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135
Mailing Address - Country:US
Mailing Address - Phone:918-706-0184
Mailing Address - Fax:
Practice Address - Street 1:6128 E 38TH ST
Practice Address - Street 2:305
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5832
Practice Address - Country:US
Practice Address - Phone:918-706-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health