Dewitt, Kenneth Wayne

Dewitt, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 417759 East 1116 Rd , Checotah OK 74426. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Dewitt, Kenneth Wayne can be contacted via phone (405) 493-5654.

Contact Information

Primary practice address
417759 East 1116 Rd Checotah OK 74426
Phone: (405) 493-5654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1982468047
LBN Legal business name Dewitt, Kenneth Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2024
Last updated Feb 9th, 2024 - about last year

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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