Individual
DR. KIMBERLY KAY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1226 W BROADWAY ST, DRUMRIGHT, OK 74030-5826
(918) 844-4625
Mailing address
281 N SUNSET AVE, SAND SPRINGS, OK 74063-7363
(405) 315-7759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6945
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112080A
—
OK
Enumeration date
06/01/2017
Last updated
06/01/2017
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