Individual
DR. KENNETH SPENCER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
501 S JOHNSTONE AVE, BARTLESVILLE, OK 74003-6609
(918) 337-6050
(918) 336-6061
Mailing address
501 S JOHNSTONE AVE, BARTLESVILLE, OK 74003-6638
(918) 337-6050
(918) 336-6061
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
966
OK
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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