Individual
MR. KEVIN RICHARD BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7330
Mailing address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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