KENNETH W DEWITT, Other Service Providers CHECOTAH, OK

Contact Information

KENNETH W DEWITT

417759 EAST 1116 RD
CHECOTAH, OK 74426

Phone: 405-493-5654
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Other Service Providers	175T00000X

Indicates primary specialty

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NPI Profile & details for KENNETH W DEWITT · (Male)

NPI Number	`1982468047`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/09/2024
Last updated	02/09/2024 - About 2 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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