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Individual

DR. MICHELLE DAWN KIMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
(918) 762-4614
Mailing address
1023 E CHERRY ST STE A, CUSHING, OK 74023-4105
(918) 225-0771
(918) 225-1993

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17678
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100195080C
OK
Enumeration date
07/22/2006
Last updated
11/20/2014
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