MR. Michael Keith Kennison, LMSW

NPI #1134327380 in Tulsa, Oklahoma

Provider Information

NPI Number: 1134327380
Entity Type: Individual
Name: MR. Michael Keith Kennison, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 616 S BOSTON AVE STE 400
City: Tulsa
State: Oklahoma
ZIP Code: 74119-1216
Phone: (918) 382-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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