Individual provider · Type 1 NPI

Kenneth Wayne Dewitt

Peer Specialist · Checotah, OK

NPI number 1982468047 Active

Practice location

417759 East 1116 Rd
Checotah, OK 74426

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 1982468047

Kenneth Wayne Dewitt's National Provider Identifier is 1982468047, issued on Feb 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Checotah, OK. The record was last updated on Feb 9, 2024.