Provider Demographics
NPI:1053625913
Name:KEHL, STEVEN JOSEPH
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:KEHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 SE 89TH ST
Mailing Address - Street 2:#448
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-6229
Mailing Address - Country:US
Mailing Address - Phone:405-887-9477
Mailing Address - Fax:
Practice Address - Street 1:3308 SE 89TH ST
Practice Address - Street 2:#448
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-6229
Practice Address - Country:US
Practice Address - Phone:405-887-9477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health