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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNETH RUSSELL CLYBURN SR.
NPI 1487551008
Peer Specialist in Beckley, WV

Active since October 26, 2026
221 GEORGE ST, BECKLEY, WV 25801(681) 238-6634 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenneth Russell Clyburn Sr. NPPES

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

KENNETH RUSSELL CLYBURN SR. (NPI 1487551008) is an individual peer specialist in Beckley, West Virginia and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1487551008
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH RUSSELL CLYBURN SR.
Location Address221 GEORGE STBeckley, WV 25801-2609
Mailing Address221 George StBeckley, WV 25801-2609 · (681) 238-6634
Phone(681) 238-6634
Sole ProprietorYes
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1487551008 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.
221 GEORGE ST, Beckley, WV 25801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MATTHEW L ADAMS
Counselor (Addiction (Substance Use Disorder))
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634
CHERMETTE WRIGHT MSW
Counselor
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634
BRANDI ALEXANDRA KEATON PHARMACIST
Pharmacist
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 207-7334
ZECHARI JAMES HAZELWOOD MA, AADC-S, CCJP
Counselor (Addiction (Substance Use Disorder))
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 220-6634
JENNIFER LEA MCBRIDE
Specialist
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634
SUSAN LYNETTE RICHMOND
Community Health Worker
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634
MISS BRITNEY NICOLE COLEMAN MSW
Counselor (Mental Health)
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634
HEATHER DAWN WILLIAMS
Community Health Worker
221 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-6634

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 Kenneth Clyburn's NPI number?

The NPI number for Kenneth Clyburn is 1487551008. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Where is Kenneth Clyburn located?

Kenneth Clyburn practices at 221 George St, Beckley, WV 25801. The listed phone number is (681) 238-6634.

What is Kenneth Clyburn'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 Kenneth Clyburn was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.