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KENNETH DWAYNE NEILL
NPI 1508476268
Peer Specialist in Wasilla, AK

Active since August 06, 2020
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 313-1333 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Dwayne Neill NPPES

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

KENNETH DWAYNE NEILL (NPI 1508476268) is an individual peer specialist in Wasilla, Alaska and active in the NPI registry since August 2020. He maintains a secondary practice location in Wasilla.

NPPES Registry Identity

NPI1508476268
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH DWAYNE NEILL
Location Address591 S KNIK GOOSE BAY RDWasilla, AK 99654-8062
Mailing Address591 S Knik Goose Bay RdWasilla, AK 99654-8062 · (907) 313-1333
Phone(907) 313-1333
Sole ProprietorNo
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1508476268 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.
591 S KNIK GOOSE BAY RD, Wasilla, AK 99654
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Secondary Practice Location 1

Location 1545 S Knik Goose Bay RdWasilla, AK 99654-8171 · Phone (907) 313-1333

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.

BRITTANY LYNNE RUSSELL
Peer Specialist
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
CORA HULL
Peer Specialist
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
PAULA ANN CAMPBELL
Case Manager/Care Coordinator
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
ELISE LEVET COLLINS MS
Counselor (Mental Health)
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
KARENA M FORSTER
Peer Specialist
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
MATTHEW A LADNER
Case Manager/Care Coordinator
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
JASON A GONSALVES
Peer Specialist
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333
JEREMY JOSEOH SCHULZ
Peer Specialist
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 313-1333

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 Neill's NPI number?

The NPI number for Kenneth Neill is 1508476268. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Kenneth Neill located?

Kenneth Neill practices at 591 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 313-1333.

What is Kenneth Neill'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 Neill was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.