Individual
MR. KENNY RAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10320 N AIRPORT RD, CLINTON, OK 73601-7530
(580) 331-2370
(405) 422-8282
Mailing address
PO BOX 175, CLINTON, OK 73601-0175
(580) 331-2370
(405) 422-8282
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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