Kenneth Samuel Davis

NPI #1437857273 in Catoosa, Oklahoma

Provider Information

NPI Number
1437857273
Entity Type
Individual
Name
Kenneth Samuel Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Feb 21, 2023
Last Updated
Feb 21, 2023

Practice Location

Address
19320 E ADMIRAL PL STE B
ZIP Code
74015-3240
Phone
(918) 340-5503

Specialties & Taxonomy Codes

Specialty
Counselor

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