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

Kenneth Derick McIntosh

Individual provider Peer Specialist · NPI 1124927272

Kenneth Derick McIntosh is a Peer Specialist in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2026.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

302 NW Rogers Ln
Lawton, OK 73507-1619
Phone: (580) 360-0906
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1124927272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2026
Last updated in NPPESNovember 4, 2026
Certification dateNovember 4, 2026

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