Dimmitt, Sandra Kay

Dimmitt, Sandra Kay is an individual health care provider with primary practice located at 1102 E 2Nd St , Cushing OK 74023-4139. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Dimmitt, Sandra Kay can be contacted via phone (918) 225-3006.

Contact Information

Primary practice address
1102 E 2Nd St Cushing OK 74023-4139
Phone: (918) 225-3006
Fax: (918) 225-5245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11700 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 11700 Oklahoma
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 11700 Oklahoma
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11700 Oklahoma

Profile Details

NPI number 1245264894
LBN Legal business name Dimmitt, Sandra Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 1st, 2014 - about 10 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 1245264894 NPPES
Oklahoma Other OKA103248 MEDICARE PTAN
Oklahoma MEDICAID 100200770A MEDICARE PTAN

Popular Providers