Individual
KIMBERLY A SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12455 E 100TH ST N, STE 220, OWASSO, OK 74055-4674
(918) 274-1555
(918) 293-3167
Mailing address
12455 E 100TH ST N, SUITE 220, OWASSO, OK 74055-4674
(918) 274-5555
(918) 293-3167
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3602
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126080B
—
OK
Enumeration date
03/28/2006
Last updated
06/28/2013
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