Most Relevant Information
Provider Data
| NPI Number: | 1003482340 |
| Provider Name: | KEVIN KAPPES |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | L081819472 |
Most Important Dates
| Enumeration Date: | 05/27/2021 |
| Last Updated: | 05/27/2021 |
Provider Practice Location
405 WILLIAMS
MAYSVILLE
OK
73057
Practice Location Phone/Fax
| Phone: | 0542561881 |
| Fax: |
Provider Mailing Location
1308 HILLCREST
MAYSVILLE
OK
730579513
Provider Mailing Phone/Fax
| Phone: | 4056598340 |
| Fax: |