Individual
MR. DENVER KYLE HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(580) 371-3799
Mailing address
501 W 16TH ST, ADA, OK 74820-7609
(405) 432-0152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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