Most Relevant Information
Provider Data
| NPI Number: | 1003246786 |
| Provider Name: | KENT MATHEWS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/18/2013 |
| Last Updated: | 11/18/2013 |
Provider Practice Location
1200 NE 13TH ST
OKLAHOMA CITY
OK
731171022
Practice Location Phone/Fax
| Phone: | 4059422300 |
| Fax: |
Provider Mailing Location
1200 NE 13TH ST
OKLAHOMA CITY
OK
731171022
Provider Mailing Phone/Fax
| Phone: | 4059422300 |
| Fax: |