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

Kevin D Kelly

Individual provider Peer Specialist · NPI 1104559046

Kevin D Kelly is a Peer Specialist in Tahlequah, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1011 S Muskogee Ave
Tahlequah, OK 74464-4733
Phone: (918) 525-6035
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 number1104559046
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022

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