Individual
KIMBERLY ANNE ELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3101 ELK DR, MCALESTER, OK 74501-7606
(918) 426-2442
(918) 421-6963
Mailing address
PO BOX 1992, MCALESTER, OK 74502-1992
(918) 426-2442
(918) 426-0888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1694
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200133430A
—
OK
Enumeration date
01/10/2008
Last updated
03/25/2025
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