Kenneth E Burton, M.S.

Individual provider Active NPI Marriage & Family Therapist · Guymon, OK

NPI 1477572287 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477572287
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
175 (OK)
Practice address
1009 N Main St
Guymon, OK 73942-3611
Phone
(580) 338-3389
Fax
(580) 338-3389
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 175 OK Yes

Addresses

Primary practice location

1009 N Main St
Guymon, OK 73942-3611

Mailing address

1009 N Main St
P.O. Box 562
Guymon, OK 73942-3611
Phone (580) 338-3389

Other providers in Guymon, OK

All providers in Guymon, OK · Marriage & Family Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.