Individual
PAMELA LYNN KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 NORTHWEST BLVD, ARDMORE, OK 73401
(580) 221-7500
(580) 490-9841
Mailing address
PO BOX 216, ARDMORE, OK 73402-0216
(580) 221-7500
(580) 490-9841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151890A
—
OK
Enumeration date
02/01/2006
Last updated
08/04/2008
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