Individual
KIM B. KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3801 NW 166TH ST STE 4, EDMOND, OK 73012-9279
(405) 359-1122
(405) 359-1100
Mailing address
3801 NW 166TH ST STE 4, EDMOND, OK 73012-9279
(405) 359-1122
(405) 359-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0047398
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136730A
—
OK
05
—
100136730B
—
OK
Enumeration date
03/29/2006
Last updated
12/19/2022
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