Individual
MRS. KIMBERLY KAY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
210 W ROBERT ST, POTEAU, OK 74953
(918) 649-0069
(918) 649-0067
Mailing address
PO BOX 582, POTEAU, OK 74953-0582
(918) 649-0069
(918) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66821
OK
363LF0000X
Family Nurse Practitioner
A03297
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200255520B
—
OK
Enumeration date
08/10/2009
Last updated
09/20/2018
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