Individual provider · Type 1 NPI

Kenneth Wayne Ross, PRSS

Peer Specialist · Muskogee, OK

NPI number 1245876648 Active

Practice location

619 N Main St
Muskogee, OK 74401-4431

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 1245876648

Kenneth Wayne Ross, PRSS's National Provider Identifier is 1245876648, issued on Nov 20, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Muskogee, OK. The record was last updated on Nov 20, 2019.