MR. ALAN KEITH WILCOXSON NPI 1114569738

NPI Information

NPI: 1114569738
Provider Name: MR. ALAN KEITH WILCOXSON
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1801 BLACKARD LN
PONCA CITY, OK
ZIP 74604
Phone: (405) 714-6010
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MR. Alan Keith Wilcoxson is a peer specialist in Ponca City, OK. The provider is 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. MR. Alan Keith Wilcoxson NPI is 1114569738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 BLACKARD LN
PONCA CITY, OK
ZIP 74604-512
Phone: (405) 714-6010

The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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