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FREDDIE LEE KIDDY
NPI 1568988699
Peer Specialist in Pryor, OK

Active since August 21, 2017
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017 (2 updates tracked since 2017).

About Freddie Lee Kiddy NPPES

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

FREDDIE LEE KIDDY (NPI 1568988699) is an individual peer specialist in Pryor, Oklahoma and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1568988699
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameFREDDIE LEE KIDDY
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address231 E. Graham Ave.Pryor, OK 74361 · (918) 825-1405
Phone(918) 825-1405
Sole ProprietorNo
Enumeration DateAugust 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1568988699 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.
231 E GRAHAM AVE, Pryor, OK 74361
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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.

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

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 Freddie Kiddy's NPI number?

The NPI number for Freddie Kiddy is 1568988699. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Freddie Kiddy located?

Freddie Kiddy practices at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Freddie Kiddy'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 Freddie Kiddy was last updated on July 21, 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.