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Kennedy Rose
Peer Specialist in Shawnee, Oklahoma
NPI 1770936270

Kennedy Rose is a Peer Specialist based in Shawnee, OK. Kennedy Rose practices in Shawnee, OK. The NPI Number for Kennedy Rose is 1770936270 and holds a License No. (Oklahoma).

The current practice location address for Kennedy Rose is 1010 E 45Th St, Shawnee, OK and can be reached out via phone at 405-273-1170 and via fax at 405-275-5132.

Location: 1010 E 45Th St, Shawnee, OK, 74804-9433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770936270
Provider Name
Kennedy Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
1010 E 45Th St, Shawnee, OK, 74804-9433
Phone Number
405-273-1170
Fax Number
405-275-5132
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 E 45Th St
City
Shawnee
State
Oklahoma
Zip
74804-2202
Phone Number
405-273-1170
Fax Number
405-275-5132
person
Provider Business Mailing Address Details
Address
1010 E 45Th St
City
Shawnee
State
Oklahoma
Zip
74804-2202
Phone Number
405-273-1170
Fax Number
405-275-5132
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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