Organization
KICKINGBIRD FAMILY MEDICINE PLLC
Active
Other names
Coffee Creek Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BRIAN JONES M.D. (OWNER)
(405) 330-1478
Entity
Organization
Contact information
Practice address
2820 N KELLY AVE, SUITE 200, EDMOND, OK 73003-3007
(405) 330-1478
(405) 330-6231
Mailing address
PO BOX 31266, EDMOND, OK 73003-0022
(405) 330-1478
(405) 330-6231
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
02/04/2008
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