Individual
KIMBERLY FUXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 E 15TH ST STE 300A, EDMOND, OK 73013-5035
(405) 906-4020
Mailing address
501 E 15TH ST STE 300A, EDMOND, OK 73013-5035
(405) 906-4020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0109160
OK
Other
Enumeration date
08/24/2021
Last updated
10/06/2022
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