Individual provider · Type 1 NPI

Kim Renee Forguson

Peer Specialist · Lawton, OK

NPI number 1053219360 Active

Practice location

302 NW Rogers Ln
Lawton, OK 73507-1619

Mailing address

905 SW 8th St
Lawton, OK 73501-5103

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1053219360

Kim Renee Forguson's National Provider Identifier is 1053219360, issued on Oct 27, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Oct 27, 2026.