NPI 1104688670

Kenny Ray Parker

Practitioner Peer Specialist Tecumseh, OK

Practice location

Address: 24962 Okay Rd, Tecumseh, OK 74873-6504
Phone: (405) 253-2020

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oklahoma →

Registry record

NPI: 1104688670
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2024
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.