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Mr. Kenny Ray Williams
Peer Specialist in Clinton, Oklahoma
NPI 1093404865

Kenny Ray Williams is a Peer Specialist based in Clinton, OK. Kenny Ray Williams practices in Clinton, OK. The NPI Number for Kenny Ray Williams is 1093404865 and holds a License No. (Oklahoma).

The current practice location address for Kenny Ray Williams is 10320 N Airport Rd, Clinton, OK and can be reached out via phone at 580-331-2370 and via fax at 405-422-8282. You can also correspond with Kenny Ray Williams through the mailing address at PO BOX 175, CLINTON, OK - 73601-0175 (mailing address contact number: 580-331-2370).

Location: 10320 N Airport Rd, Clinton, OK, 73601-0175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093404865
Provider Name
Kenny Ray Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
10320 N Airport Rd, Clinton, OK, 73601-0175
Phone Number
580-331-2370
Fax Number
405-422-8282
Provider Enumeration Date
05/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10320 N Airport Rd
City
Clinton
State
Oklahoma
Zip
73601-7530
Phone Number
580-331-2370
Fax Number
405-422-8282
person
Provider Business Mailing Address Details
Address
10320 N Airport Rd
City
Clinton
State
Oklahoma
Zip
73601-7530
Phone Number
580-331-2370
Fax Number
405-422-8282
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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