Provider Demographics
NPI:1861453995
Name:KENYON, ARNOLD W (DC)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:W
Last Name:KENYON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 1/2 W OWEN K GARRIOTT RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-5530
Mailing Address - Country:US
Mailing Address - Phone:580-237-2289
Mailing Address - Fax:580-237-3751
Practice Address - Street 1:2003 1/2 W OWEN K GARRIOTT RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5530
Practice Address - Country:US
Practice Address - Phone:580-237-2289
Practice Address - Fax:580-237-3751
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor