Bennett, Kimberly Jo

Bennett, Kimberly Jo is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bennett, Kimberly Jo can be contacted via phone (918) 494-5346.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Fax: (918) 494-6303
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4036 Oklahoma
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4036 Oklahoma

Profile Details

NPI number 1255317871
LBN Legal business name Bennett, Kimberly Jo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255317871 NPPES
Oklahoma Other 241320606 241320606

Popular Providers