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Organization

KIMBERLY EDGMON MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY EDGMON MD (OWNER)
(405) 726-8000
Entity
Organization

Contact information

Practice address
2820 N KELLY AVE, SUITE 200, EDMOND, OK 73003-3007
(405) 726-8000
(405) 726-8101
Mailing address
2820 N KELLY AVE, SUITE 200, EDMOND, OK 73003-3007
(405) 726-8000
(405) 726-8101

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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