Individual
DR. KEN D BOND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1127 N KICKAPOO AVE, SHAWNEE, OK 74801-4845
(405) 214-0116
(877) 334-8552
Mailing address
33007 45TH ST, SHAWNEE, OK 74804-3429
(405) 214-0116
(877) 334-8552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1104
OK
Other
Enumeration date
07/24/2014
Last updated
12/20/2018
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