Individual
KENNETH J KOHUTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4730 COLLEGE DR, 6515 KEMP BOULEVARD, VERNON, TX 76384-4009
(940) 552-9901
Mailing address
4730 COLLEGE DR, 6515 KEMP BOULEVARD, VERNON, TX 76384-4009
(940) 552-9901
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
22814
TX
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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