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

Kierstin Grace Self

Individual provider Peer Specialist · NPI 1205611357

Kierstin Grace Self is a Peer Specialist in Pryor, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

109 N Fairland St
Pryor, OK 74361-4205
Phone: (918) 825-1405
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 number1205611357
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address109 N Fairland St, Pryor, OK 74361-4205

Other providers in Pryor