Individual
MR. KENNETH D. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT INTERN
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
(918) 227-1125
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
(918) 227-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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