Kenneth Wills
NPI #1386199826 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1386199826
- Entity Type
- Individual
- Name
- Kenneth Wills
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 24, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 416 N FOREST RIDGE BLVD
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-2758
- Phone
- (918) 698-9246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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