Individual provider · Type 1 NPI

Kimberly Lasha Randle

Peer Specialist · Tulsa, OK

NPI number 1720977317 Active

Practice location

2026 E 1st St
Tulsa, OK 74104-1407

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 1720977317

Kimberly Lasha Randle's National Provider Identifier is 1720977317, issued on Jun 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 30, 2025.