Kenneth Lee Evans

NPI #1144629163 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1144629163
Entity Type: Individual
Name: Kenneth Lee Evans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 711 S MUSKOGEE AVE
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-4717
Phone: (918) 207-0078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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