Individual provider · Type 1 NPI

Kellye F. Green

Peer Specialist · Altus, OK

NPI number 1871104810 Active

Practice location

111 N Hudson St
Altus, OK 73521-3811

Call (580) 379-4085 Map

Mailing address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

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 1871104810

Kellye F. Green's National Provider Identifier is 1871104810, issued on Aug 13, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Altus, OK. The record was last updated on Aug 13, 2020.