Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YP1600X | Pastoral Counselor |
NPI | 1285059998 |
---|---|
Provider Name | Mr. David L Filkins |
First Address | Oklahoma City, OK 73165-8434 |
Second Address | Oklahoma City, OK 73165-8434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2014 |
Last Update Date | 04/03/2014 |