Individual
MERLIN JOE KILBURY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7573
(918) 540-7590
Mailing address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7573
(918) 540-7590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073730A
—
OK
05
—
100699440M
—
OK
05
—
200059690A
—
OK
Enumeration date
12/04/2006
Last updated
04/15/2009
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