# LIFES CYCLE WOMENS CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386738201
- **Authorized official:** PAMELA LYNN KIMBROUGH MD (PRESIDENT)
- **Authorized official phone:** (580) 221-7500

## Contact information

- **Practice address:** 970 NORTHWEST BLVD, ARDMORE, OK 73401
- **Practice address phone:** (580) 221-7500
- **Practice address fax:** (580) 490-9841
- **Mailing address:** PO BOX 216, ARDMORE, OK 73402
- **Mailing address phone:** (580) 221-7500
- **Mailing address fax:** (580) 490-9841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 07/24/2012