Individual provider · Type 1 NPI

Kenneth Russell Clyburn Sr.

Peer Specialist · Beckley, WV

NPI number 1487551008 Active

Practice location

221 George St
Beckley, WV 25801-2609

Call (681) 238-6634 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 1487551008

Kenneth Russell Clyburn Sr.'s National Provider Identifier is 1487551008, issued on Oct 26, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beckley, WV. The record was last updated on Oct 26, 2026.