Individual provider · Type 1 NPI

Kdedra Martin

Peer Specialist · Oklahoma City, OK

NPI number 1124508262 Active

Practice location

5517 Evanbrook Terrace
Oklahoma City, OK 73135-1523

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

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 1124508262

Kdedra Martin's National Provider Identifier is 1124508262, issued on Aug 17, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 27, 2019.