KENNETH LEE EVANS

TAHLEQUAH, OK
NPI1144629163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2014-08-14
Last Update Date2014-08-14
Business Address
-- KENNETH LEE EVANS
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
Mailing Address
-- KENNETH LEE EVANS
1304 S WILLEY ST
FORT GIBSON, OK 74434-7813
Phone number: 405-445-2009