Individual
MR. KEVIN SCOTT LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66986
OK
363LF0000X
Family Nurse Practitioner
829380
TX
Other
Enumeration date
10/19/2012
Last updated
09/14/2016
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