Individual
MR. KEN JAMES GREENSHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
1908 NW 37TH ST, OKLAHOMA CITY, OK 73118-2811
(405) 802-2432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/26/2018
Last updated
09/24/2020
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