Hargrove, Lee Kenneth

Hargrove, Lee Kenneth is an individual health care provider with primary practice located at 4004 S Yale Ave , Tulsa OK 74135-6017. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hargrove, Lee Kenneth can be contacted via phone (918) 622-4278.

Contact Information

Primary practice address
4004 S Yale Ave Tulsa OK 74135-6017
Phone: (918) 622-4278
Fax: (918) 622-4844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2359 Oklahoma

Profile Details

NPI number 1700858842
LBN Legal business name Hargrove, Lee Kenneth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 23rd, 2007 - about 18 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 1700858842 NPPES
Other 200094780A MEDICAID LEGACY
MEDICAID 200094780A MEDICAID LEGACY
Other 7589153 MEDICAID LEGACY
Other 444649810010 MEDICAID LEGACY
Other 243631705 MEDICAID LEGACY
Other P00382679 MEDICAID LEGACY

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