Organization
LIFES CYCLE WOMENS CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LYNN KIMBROUGH MD (PRESIDENT)
(580) 221-7500
Entity
Organization
Contact information
Practice address
970 NORTHWEST BLVD, ARDMORE, OK 73401
(580) 221-7500
(580) 490-9841
Mailing address
PO BOX 216, ARDMORE, OK 73402
(580) 221-7500
(580) 490-9841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/24/2012
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