Individual
ELIZABETH ANN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN FNP-BC
Contact information
Practice address
523 E STATE RD, FAIRVIEW, OK 73737-1453
(580) 227-3721
(580) 227-1382
Mailing address
523 E STATE RD, FAIRVIEW, OK 73737-1453
(580) 227-3721
(580) 227-1382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0112653
OK
Other
Enumeration date
09/30/2013
Last updated
06/10/2014
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