Individual
MR. KENNETH JAMES MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2006 CARDINAL LN, MCALESTER, OK 74501-7507
(918) 329-9252
Mailing address
2006 CARDINAL LN, MCALESTER, OK 74501-7507
(918) 329-9252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1927
OK
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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