KEVIN THOMAS GRESHAM NPI 1265195382

NPI Information

NPI: 1265195382
Provider Name: KEVIN THOMAS GRESHAM
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5950 E 31ST ST
TULSA, OK
ZIP 74135
Phone: (918) 664-9000
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Kevin Thomas Gresham is a mental health counselor in Tulsa, OK. Kevin Thomas Gresham NPI is 1265195382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5950 E 31ST ST
TULSA, OK
ZIP 74135-114
Phone: (918) 664-9000

The enumeration date for this NPI number is 10/15/2021 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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