Individual provider · Type 1 NPI

Kim Deroin

Peer Specialist · Tulsa, OK

NPI number 1447974795 Active

Practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Call (918) 852-1604 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1447974795

Kim Deroin's National Provider Identifier is 1447974795, issued on Sep 30, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 24, 2026.