Individual
BYRON KEITH BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10613 REITER DR, MIDWEST CITY, OK 73130-6020
(405) 455-7278
Mailing address
10613 REITER DR, MIDWEST CITY, OK 73130-6020
(405) 455-7278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110963
—
OK
Enumeration date
01/06/2009
Last updated
01/06/2009
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