Kevin Dark

NPI #1902340888 in Durant, Oklahoma

Provider Information

NPI Number: 1902340888
Entity Type: Individual
Name: Kevin Dark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 12, 2016
Last Updated: Dec 12, 2016

Practice Location

Address: 1001 W MAIN ST
City: Durant
State: Oklahoma
ZIP Code: 74701-5038
Phone: (580) 924-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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