Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kennedy Rose

Individual provider Peer Specialist · NPI 1770936270

Kennedy Rose is a Peer Specialist in Shawnee, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1010 E 45th St
Shawnee, OK 74804-2202 Not confirmed with CMS for 10 years — call before visiting
Phone: (405) 273-1170
Fax: (405) 275-5132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1770936270
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016

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