Kenneth Burrough

NPI 1720304645 - Counselor - 101YM0800X

NPI Details
NPI 1720304645
Gender Male
Enumeration Date 04/16/2010
Last Updated 04/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4030 N LINCOLN BLVD
OKLAHOMA CITY OK, 73105-5207, US
Phone (405) 528-4673
Fax
Business Location
1525 N MIDWEST BLVD APT 7
MIDWEST CITY OK, 73110-3299, US
Phone (405) 210-9078
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Kenneth Burrough NPI is 1720304645, taxonomy code is 101YM0800X Kenneth Burrough physically located at 4030 N Lincoln Blvd, Oklahoma City OK, 73105-5207. NPI Number Kenneth Burrough has the Individual type.

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1720304645 NPI number is provided on an as is basis without warranty of any kind. 1720304645 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Burrough are for informational purposes only.