Active NPI 1093404865 Individual Practitioner Male Practitioner

Kenny Ray Williams

Peer Specialist • Clinton, OK

Professional Overview & Biography Verified Profile Summary

Kenny Williams is a registered healthcare professional specializing in Peer Specialist in Clinton, OK. Practice services are available at 10320 N AIRPORT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10320 N Airport Rd

Clinton, OK 736017530

Telephone 5803312370

Fax 4054228282

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Clinton, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Clinton, OK (5280 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-05

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Toshia Cuccias

Peer Specialist

NPI 1780452656

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 05, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2023

Registered at 10320 N AIRPORT RD, CLINTON, OK 736017530 (Tel: 5803312370)

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Updated Business Mailing Address May 05, 2023

Registered at PO BOX 175, CLINTON, OK 736010175 (Tel: 5803312370)

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Provider Name / Credentials Updated May 05, 2023

Recorded as KENNY WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Peer Specialist

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Initial NPI Registration & Enumeration May 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1093404865

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 05, 2023

Last Update: May 05, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 175

Clinton, OK 736010175

Phone: 5803312370

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.