Kenneth Wayne Patton Sr.
Kenneth Wayne Patton Sr. is a Peer Specialist in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2023
Practice location Address checks out
7323 E Nashville StBroken Arrow, OK 74014-2980
Phone: (918) 853-5153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 2021-889 (OK) |
|---|
Record details
| NPI number | 1538946512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2023 |
| Last updated in NPPES | September 12, 2023 |
| Certification date | September 12, 2023 |
| Mailing address | 7323 E Nashville St, Broken Arrow, OK 74014-2980 |
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