Kevin Mellencamp, M.S. LPC
NPI 1033423389 · on the registry since 2010
Practice
- Address
- 1320 Nw Homestead Dr Ste G
Lawton, OK 73505 - Phone
- (580) 355-8883
- Fax
- (580) 355-8885
- Organisation at this address
- Solid Recovery Llc
Aesthetic Extensions
Bonnie L Burton Dds Pllc
Safy Of Oklahoma - Lawton
Shannon Griffin, Dmd, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma