Individual
MR. KEVIN MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, BHRS
Contact information
Practice address
505 NE 46TH ST, OKLAHOMA CITY, OK 73105-3314
(405) 270-0005
(405) 270-0956
Mailing address
6412 W CAPTAINS DR, OKLAHOMA CITY, OK 73162-6837
(214) 207-6674
(405) 470-0240
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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