Adkison, Kevin

Adkison, Kevin is an sole proprietor health care provider with primary practice located at 201 E Main St , Tishomingo OK 73460-2339. He recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as his primary health care specialty. Adkison, Kevin can be contacted via phone (580) 257-0474.

Contact Information

Primary practice address
201 E Main St Tishomingo OK 73460-2339
Phone: (580) 257-0474
Fax: (580) 371-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X Oklahoma

Profile Details

NPI number 1265843049
LBN Legal business name Adkison, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2014
Last updated May 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265843049 NPPES
Oklahoma MEDICAID UNKNOWN

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