Individual
MR. BRIAN D KAUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
(918) 691-8445
(405) 293-9047
Mailing address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
(918) 691-8445
(405) 293-9047
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092660A
—
OK
Enumeration date
07/19/2010
Last updated
07/19/2010
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