Individual
KEVIN N POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 E 2ND ST, HEAVENER, OK 74937-3419
(918) 653-7718
Mailing address
511 E 2ND ST, HEAVENER, OK 74937-3419
(918) 653-7718
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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