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Individual

DR. TIMOTHY L. KINZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 734-2778
(405) 736-3128
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 734-2778
(405) 736-3128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002009356
MO
207Q00000X
Family Medicine Physician
Primary
3166
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
245824404
MO
Enumeration date
10/23/2006
Last updated
02/03/2026
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