Individual
KIMBERLY KAY HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 S 129TH EAST AVE, SUITE 191, TULSA, OK 74134-5801
(918) 392-4544
(918) 779-7425
Mailing address
4500 S 129TH E AVE,, SUITE 191, TULSA, OK 74134-5891
(918) 392-4544
(918) 779-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230690A
—
OK
Enumeration date
05/17/2006
Last updated
03/14/2013
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