Individual provider · Type 1 NPI

Kenneth Dwayne Neill

Peer Specialist · Wasilla, AK

NPI number 1508476268 Active

Practice location

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

Call (907) 313-1333 Map

Other practice locations

  • 545 S Knik Goose Bay Rd, Wasilla, AK 99654-8171 · (907) 313-1333

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 1508476268

Kenneth Dwayne Neill's National Provider Identifier is 1508476268, issued on Aug 6, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Aug 6, 2020.