SearchOklahoma225100000X

Ken Simmons

NPI 1508492034 · on the registry since 2020 · sole proprietor

Practice

Address
1100 Ranch Rd N
Altus, OK 73521
Phone
(580) 471-1519

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
261QP2000X
Licence states on file
OK, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-08

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