Individual
KEVIN KAPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 WILLIAMS, MAYSVILLE, OK 73057
(054) 256-1881
Mailing address
1308 HILLCREST, MAYSVILLE, OK 73057-9513
(405) 659-8340
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L081819472
OK
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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