1. Home
  2. Directory
  3. Oklahoma
  4. Tahlequah
  5. Peer Specialist
  6. NPI Profile

KEVIN D KELLY
NPI 1104559046
Peer Specialist in Tahlequah, OK

Active since July 07, 2022
1011 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 525-6035 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin D Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN D KELLY (NPI 1104559046) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1104559046
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEVIN D KELLY
Location Address1011 S MUSKOGEE AVETahlequah, OK 74464-4733
Mailing Address1011 S Muskogee AveTahlequah, OK 74464-4733 · (918) 525-6035
Phone(918) 525-6035
Sole ProprietorNo
Enumeration DateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1104559046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1011 S MUSKOGEE AVE, Tahlequah, OK 74464
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER CHEROKEE NICOLE JOHNSON
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 525-6035
MR. JUSTIN CHARLES BATT I
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (539) 995-9043
TRAYE ANDREW GREEN
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 525-6035
INDIAN WASH A.J. FLUTE
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 316-6762
LISA ELAINE WILSON
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 840-7047
CHEYENNE LEPPKE
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 525-6035
BENJAMIN KRUGER
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 525-6035
ALICIA TURCHECK
Peer Specialist
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 525-6035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1104559046. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Kevin Kelly located?

Kevin Kelly practices at 1011 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (918) 525-6035.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.