Individual
KIMBERLY LOUISE BITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4021 S WALKER AVE, OKLAHOMA CITY, OK 73109-6974
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3106
OK
Other
Enumeration date
12/07/2019
Last updated
08/11/2025
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