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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH WAYNE DEWITT

Active Sole Proprietor

Peer Specialist · CHECOTAH, OK

Registration Details

NPI Number
1982468047
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2024 (2.2198054701385 yrs)
Last Updated
Feb 9, 2024
Sole Proprietor
Yes

Practice Information

Address
417759 EAST 1116 RD
CHECOTAH, OK, 74426
Browse OK providers · Browse ZIP 74426
Phone
4054935654
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in CHECOTAH, OK

Name Credential NPI
MS. LEAH RENEE COOK 1992418818
CALEB JOEL SIZEMORE 1609581859
TORI BROOKE SHIELDS 1376439810
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.