IAN SEWARD KENNINGTON
NPI 1831967850
Peer Specialist in Coos Bay, OR
- Individual
- Male
- Peer Specialist
About IAN KENNINGTON
This page provides the complete NPI Profile along with additional information for Ian Kennington, a provider established in Coos Bay, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1831967850 assigned on December 2023. The practitioner's primary taxonomy code is 175T00000X with license number 23-CRM-2708 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1831967850 Verify this NPI
- Provider Name
- IAN SEWARD KENNINGTON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 155 S EMPIRE BLVD COOS BAY, OR 97420
- Location Phone
- (541) 756-3111
- Location Fax
- (541) 756-2111
- Mailing Address
- 155 S EMPIRE BLVD COOS BAY, OR 97420
- Mailing Phone
- (541) 756-3111
- Mailing Fax
- (541) 756-2111
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2023
- Last Update Date
- 12-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 23-CRM-2708
- License State
- OR
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COOS BAY, OR 97420
COOS BAY, OR 97420
COOS BAY, OR 97420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831967850, enumerated as an "individual" on December 19, 2023.
The provider is located at 155 S EMPIRE BLVD COOS BAY, OR 97420 and the phone number is (541) 756-3111.
Peer Specialist with taxonomy code 175T00000X.
