Individual
DR. KIMBERLY MARIE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 MCKOWN DR, NORMAN, OK 73072-6682
(405) 329-5613
(405) 360-7747
Mailing address
2201 MCKOWN DR, NORMAN, OK 73072-6682
(405) 329-5613
(405) 360-7747
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19103
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437184181
—
OK
Enumeration date
06/28/2006
Last updated
01/31/2008
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