Individual
KIMBERLIE K DULLYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 587-2561
Mailing address
2020 E 44TH ST, TULSA, OK 74105-4213
(918) 745-0117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18430
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010672601002
BCBSOK
OK
Enumeration date
08/04/2006
Last updated
10/29/2007
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