Individual
MR. KEVIN K STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1329 NW 104TH ST, OKLAHOMA CITY, OK 73114-5013
(405) 204-1051
Mailing address
1329 NW 104TH STREET, OKLAHOMA CITY, OK 73114
(405) 204-1051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
04/08/2014
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