KENNINGTON EASLEY

MUSKOGEE, OK
NPI1922684497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
KENNINGTON EASLEY
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
Mailing Address
KENNINGTON EASLEY
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: