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NPI Code Detail

MEDICARE: KEVIN JOSUE LOUIS KING

MEDICARE: KEVIN JOSUE LOUIS KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianOK

General Provider Information

NPI Number : 1982545455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN JOSUE LOUIS KING
Provider Business Mailing Address
First Line : 4908 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-5712
Country : US
Telephone Number : 918-984-9153
Fax Number :
Provider Business Practice Location Address
First Line : 4908 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-5712
Country : US
Telephone Number : 918-984-9153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

Similar Medicare Providers

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1962763318 — MRS. LINDSEY NICOLE NIEMAN LMFT LD
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1871947275 — ASHLEY MICHELE SMITH MS, RD, LD
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1649724907 — MR. DANIEL BRIAN PEARCE LPC
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Practice Fax: 918-392-4009

Directions to “ KEVIN JOSUE LOUIS KING ” Practice Location

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