Individual
KISHORE KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112
(405) 713-7403
(405) 713-2794
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-7403
(405) 713-2794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25877
OK
208M00000X
Hospitalist Physician
Primary
25877
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25877
MEDICAL LICENSURE
OK
Enumeration date
08/28/2007
Last updated
08/16/2018
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