KC Locklear
Individual provider Active NPI Peer Specialist · Comanche, OK
NPI 1992551543 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1992551543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 608 Oak Main Ave
Comanche, OK 73529-1472 - Phone
- (580) 439-5712
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
608 Oak Main Ave
Comanche, OK 73529-1472
Mailing address
PO Box 536
Comanche, OK 73529-0536
Phone (580) 439-5712
Other providers in Comanche, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.