person
Kevin D Kelly
Peer Specialist in Tahlequah, Oklahoma
NPI 1104559046

Kevin D Kelly is a Peer Specialist based in Tahlequah, OK. Kevin D Kelly practices in Tahlequah, OK. The NPI Number for Kevin D Kelly is 1104559046 and holds a License No. (Oklahoma).

The current practice location address for Kevin D Kelly is 1011 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-525-6035.

Location: 1011 S Muskogee Ave, Tahlequah, OK, 74464-4733
person
Provider Profile Details
NPI Number
1104559046
Provider Name
Kevin D Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
1011 S Muskogee Ave, Tahlequah, OK, 74464-4733
Phone Number
918-525-6035
Fax Number
Provider Enumeration Date
07/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1011 S Muskogee Ave
City
State
Zip
74464-4733
Phone Number
918-525-6035
Fax Number
person
Provider Business Mailing Address Details
Address
1011 S Muskogee Ave
City
State
Zip
74464-4733
Phone Number
918-525-6035
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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