Individual provider · Type 1 NPI

Kaytlyn Breanne Russell

Peer Specialist · Muskogee, OK

NPI number 1316866189 Active

Practice location

1508 Irving St
Muskogee, OK 74403-3151

Call (918) 869-2939 Map

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 1316866189

Kaytlyn Breanne Russell's National Provider Identifier is 1316866189, issued on Jul 14, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Muskogee, OK. The record was last updated on Jul 15, 2026.