Kenneth Wayne Dewitt Valid NPI

Individual provider · Peer Specialist · Checotah, OK

NPI

1982468047

Type

Individual (Type 1)

Primary specialty

Peer Specialist

Specialty group

Other Service Providers

Taxonomy code

175T00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2024-02-09

Last updated

2024-02-09