IndividualActive
Kourtland Mcmillan
NPI 1255196697 · Peer Specialist · Wagner, OK
Provider details
- NPI number
- 1255196697
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 Ne 1st Street
Wagner, OK 74467-6928
Phone: (918) 201-4333
Street-level locationGet directions
Mailing address
215 Ne 1st St
Wagoner, OK 74467-4439
Additional practice locations (1)
- 215 Ne 1st StWagoner, OK 74467-4439Phone: (918) 201-4333
Registry dates
- Enumerated
- 2024-02-15
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.