Kenneth Wayne Dewitt
Kenneth Wayne Dewitt is a Peer Specialist in Checotah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
417759 E 1116 RdChecotah, OK 74426
Phone: (405) 493-5654
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1982468047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2024 |
| Last updated in NPPES | February 9, 2024 |
| Certification date | February 9, 2024 |
| Mailing address | 417759 East 1116 Rd, Checotah, OK 74426 |
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