Kellie Odeneal
Peer Specialist • Wagoner, OK
Professional Overview & Biography Verified Profile Summary
Kellie Odeneal is a registered healthcare professional specializing in Peer Specialist in Wagoner, OK. Practice services are available at 907 NW 5TH ST under active NPI credentials.
Practice Location & Contact Primary Location
907 Nw 5th St
Wagoner, OK 744673103
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Wagoner, OK
Practicing in Wagoner, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-08-24NUCC 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 907 NW 5TH ST, WAGONER, OK 744673103 (Tel: 9187771241)
Registered at 907 NW 5TH ST, WAGONER, OK 744673103 (Tel: 9187771241)
Recorded as KELLIE ODENEAL
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
907 Nw 5th St
Wagoner, OK 744673103
Phone: 9187771241
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