Individual
DR. G. RICHARD KISHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4901 RICHMOND SQ, SUITE 102, OKLAHOMA CITY, OK 73118-2023
(405) 848-3373
(405) 848-3458
Mailing address
4901 RICHMOND SQ, SUITE 102, OKLAHOMA CITY, OK 73118-2023
(405) 848-3373
(405) 848-3458
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1278
OK
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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