Provider Demographics
NPI:1679985972
Name:HOWELL, KENNETH DUANE
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:DUANE
Last Name:HOWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 ASHER ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-9734
Mailing Address - Country:US
Mailing Address - Phone:405-612-1125
Mailing Address - Fax:
Practice Address - Street 1:1424 ASHER ST
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-9734
Practice Address - Country:US
Practice Address - Phone:405-612-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator