Individual
KELLY R KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4140 W MEMORIAL RD STE 215, OKLAHOMA CITY, OK 73120-8361
(405) 242-4030
(405) 242-4031
Mailing address
4140 W MEMORIAL RD STE 215, OKLAHOMA CITY, OK 73120-8361
(405) 242-4030
(405) 242-4031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101588
OK
Other
Enumeration date
10/13/2017
Last updated
09/21/2018
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