Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1295066322 |
---|---|
Provider Name | Stephen Kyle Cox |
First Address | Indianola, OK 74442-9741 |
Second Address | Mcalester, OK 74501-5363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2010 |
Last Update Date | 29/01/2010 |