Kenneth Love, Jr

NPI #1255802708 in Purcell, Oklahoma

Provider Information

NPI Number: 1255802708
Entity Type: Individual
Name: Kenneth Love, Jr
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 10, 2018
Last Updated: Dec 10, 2018

Practice Location

Address: 23899 STATE HIGHWAY 74
City: Purcell
State: Oklahoma
ZIP Code: 73080-6964
Phone: (405) 253-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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