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Kevonda Fuller
Peer Specialist in Edmond, Oklahoma
NPI 1952966699

Kevonda Fuller is a Peer Specialist based in Edmond, OK. Kevonda Fuller practices in Edmond, OK. The NPI Number for Kevonda Fuller is 1952966699 and holds a License No. (Oklahoma).

The current practice location address for Kevonda Fuller is 13707 Fairhill Ave, Edmond, OK and can be reached out via phone at 405-607-4041. You can also correspond with Kevonda Fuller through the mailing address at 13707 FAIRHILL AVE, EDMOND, OK - 73013-1946 (mailing address contact number: 405-607-4041).

Location: 13707 Fairhill Ave, Edmond, OK, 73013-1946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952966699
Provider Name
Kevonda Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
13707 Fairhill Ave, Edmond, OK, 73013-1946
Phone Number
405-607-4041
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13707 Fairhill Ave
City
Edmond
State
Oklahoma
Zip
73013-1946
Phone Number
405-607-4041
Fax Number
person
Provider Business Mailing Address Details
Address
13707 Fairhill Ave
City
Edmond
State
Oklahoma
Zip
73013-1946
Phone Number
405-607-4041
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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