Johnson, Kenneth
Johnson, Kenneth is an individual health care provider with primary practice located at 1400 Hensley Dr , Tahlequah OK 74464-5221. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Kenneth can be contacted via phone (918) 207-3000.Contact Information
Primary practice address
1400 Hensley Dr
Tahlequah OK 74464-5221
Phone: (918) 207-3000
Fax: (918) 207-3064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2920 | Oklahoma |
Profile Details
| NPI number | 1275738692 |
|---|---|
| LBN Legal business name | Johnson, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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