Individual
KIMBERLY RACHEL JERDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5915 W MEMORIAL RD STE 300, OKLAHOMA CITY, OK 73142-2022
(405) 773-6470
(405) 773-6463
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 773-6470
(405) 773-6463
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35118
OK
Other
Enumeration date
04/09/2013
Last updated
08/22/2019
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