Kenneth Wayne Dewitt

Peer Specialist · Checotah, OK

Individual Active NPI

NPI number 1982468047

Practice location

417759 East 1116 Rd
Checotah, OK 74426
Phone
(405) 493-5654

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NPI record

NPI
1982468047
Entity type
Individual (Type 1)
Enumeration date
February 9, 2024
Last updated
February 9, 2024
Certified
February 9, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Kenneth Dewitt

Kenneth Wayne Dewitt is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 417759 East 1116 Rd, Checotah, OK 74426. The NPI number 1982468047 was assigned on February 9, 2024 and the record was last updated on February 9, 2024.

Frequently asked questions

What is the NPI number of Kenneth Wayne Dewitt?

The NPI number is 1982468047.

What is the phone number of Kenneth Dewitt?

The phone number listed for the practice location is (405) 493-5654.

Where is Kenneth Dewitt located?

417759 East 1116 Rd, Checotah, OK 74426.

What is the taxonomy code for Kenneth Dewitt?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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