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DR. KIMBERLY ADAMS BOUVETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4120 W MEMORIAL RD STE 118, OKLAHOMA CITY, OK 73120-9322
(405) 748-4700
(405) 748-5638
Mailing address
4120 W MEMORIAL RD STE 118, OKLAHOMA CITY, OK 73120-9322
(405) 748-4700
(405) 748-5638

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20425
OK
225400000X
Rehabilitation Practitioner
20425
OK

Other

Enumeration date
07/07/2006
Last updated
12/18/2013
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