Kenneth Derick McIntosh

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

302 NW Rogers LN
Lawton, OK 73507-1619

Phone

(580) 360-0906

NPI assigned

Nov 4, 2026

Last updated

Nov 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1124927272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NW ROGERS LN",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735071619",
            "telephone_number": "580-360-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW ROGERS LN",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735071619",
            "telephone_number": "580-360-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "KENNETH",
        "middle_name": "DERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Elizabeth McGlory, OTR/L, CHT
• Jennifer Lynn McGrail
• Paulette McGuckin
• Stepheni McGuire
• Emily Jean McIntosh, RN
• Briana Theresa McIntyre, OTA/L
• Kaylia McKinney, LMT
• Lilah McKinney
• Tyler Austin McKinney, DO
• Jackie Lee McKinnis, D.D.S.

• Peer Specialist in Lawton, OK
• Providers in Lawton, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.