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Kenneth Wayne Ross, PRSS
Peer Specialist in Muskogee, Oklahoma
NPI 1245876648

Kenneth Wayne Ross is a Peer Specialist based in Muskogee, OK. Kenneth Wayne Ross practices in Muskogee, OK and has the professional credentials of PRSS. The NPI Number for Kenneth Wayne Ross is 1245876648 and holds a License No. (Oklahoma).

The current practice location address for Kenneth Wayne Ross is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-8407.

Location: 619 N Main St, Muskogee, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245876648
Provider Name
Kenneth Wayne Ross
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
619 N Main St, Muskogee, OK, 74401-4431
Phone Number
918-682-8407
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
person
Provider Business Mailing Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
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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