Individual
MRS. KIMBERLY S HOVSEPIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3151 E RIVER RD, NEWKIRK, OK 74647-7517
(580) 362-1039
(580) 362-2988
Mailing address
3151 E RIVER RD, PO BOX 474, NEWKIRK, OK 74647-7517
(580) 362-1039
(580) 362-2988
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500651
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100321990A
—
KS
01
—
TEZKKLZR7M
MEDICARE PTAN
OK
Enumeration date
11/01/2006
Last updated
03/23/2016
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