Evans, Kenneth
Evans, Kenneth is an sole proprietor health care provider with primary practice located at 637 Royal Ave , Midwest City OK 73130-2710. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Evans, Kenneth can be contacted via phone (405) 733-5396.Contact Information
Primary practice address
637 Royal Ave
Midwest City OK 73130-2710
Phone: (405) 733-5396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1043546971 |
|---|---|
| LBN Legal business name | Evans, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2009 |
| Last updated | Oct 28th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043546971 | NPPES |
| Oklahoma | MEDICAID | P080455262 |
Popular Providers
-
Matthews, Quinisha
1217 Alan Lane , Midwest City OK 73130-0000 -
Manning, Felicia Ann
8320 Ne 10Th St , Midwest City OK 73110-7155 -
Owens, Tiffany Renee
7901 Ne 10Th St , Midwest City OK 73110-3600 -
Hammons, Justin
1390 S Douglas Blvd Ste 102 , Midwest City OK 73130-5271 -
Mcknight, Vernelia Nicole
2825 Parklawn Dr , Midwest City OK 73110-4201 -
Owens, Donald Allen
7901 Ne 10Th St , Midwest City OK 73110-3600 -
Henson, Kelsey Nicole
920 S Post Rd , Midwest City OK 73130-4626 -
Rogers, Daniel
510 E Curtis Dr , Midwest City OK 73110-5809