Collins, Kimberly Jane

Collins, Kimberly Jane is an individual health care provider with primary practice located at 15100 N 593 Rd , Tahlequah OK 74464-1911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Collins, Kimberly Jane can be contacted via phone (918) 822-3302.

Contact Information

Primary practice address
15100 N 593 Rd Tahlequah OK 74464-1911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C8113 Arkansas

Profile Details

NPI number 1336178805
LBN Legal business name Collins, Kimberly Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336178805 NPPES
Oklahoma MEDICAID 3118113

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