Individual provider · Type 1 NPI
Kelsey C. Pennell
Peer Specialist · Edmond, OK
NPI number
1932067048
Active
Practice location
152 Burton Pl
Edmond, OK 73013-4408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1932067048
Kelsey C. Pennell's National Provider Identifier is 1932067048, issued on Jan 15, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Jan 15, 2026.