Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Charles Bishop, CDCA, PEERSUPPOT

Individual provider Peer Specialist · NPI 1497307946

Kenneth Charles Bishop, CDCA, PEERSUPPOT is a Peer Specialist in Lyndhurst, Ohio. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

5257 Ashwood Dr
Lyndhurst, OH 44124-1037
Phone: (216) 870-9796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1497307946
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PEERSUPPOT
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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