Kenneth Carson

NPI #1154758498 in Midwest City, Oklahoma

Provider Information

NPI Number: 1154758498
Entity Type: Individual
Name: Kenneth Carson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 1, 2013
Last Updated: Oct 1, 2013

Practice Location

Address: 404 PINEHURST DR
City: Midwest City
State: Oklahoma
ZIP Code: 73130-3208
Phone: (405) 885-9358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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