Individual
KELLEN EUGENE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
103 W 13TH ST, GROVE, OK 74344-3224
(918) 786-2276
Mailing address
18483 W JUDO RD, BRAMAN, OK 74632-9238
(361) 876-9922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4588
OK
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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