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Individual
MRS. KIMBERELY DAWN KMITA
Active
Individual
MRS. KIMBERELY DAWN KMITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
66134
OK
367A00000X
Advanced Practice Midwife
Primary
R0066134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679598809
NPI #
OK
05
—
200064280A
—
OK
Enumeration date
07/12/2006
Last updated
03/02/2017
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