Individual
KENNETH LEE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
2303 S YORK ST, MUSKOGEE, OK 74403-8876
(918) 686-5588
Mailing address
427 S 13TH ST, MUSKOGEE, OK 74401-7102
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
UNDER SUPERVISION
—
Other
Enumeration date
05/24/2007
Last updated
08/10/2007
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