Individual
MR. KEITH D HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
715 N GEORGIA AVE, MANGUM, OK 73554-2201
(580) 782-2567
(580) 782-3338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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