Edgmon, Kimberly
Edgmon, Kimberly is an individual health care provider with primary practice located at 2820 N Kelly Ave Suite 200, Edmond OK 73003-3007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Edgmon, Kimberly can be contacted via phone (405) 726-8000.Contact Information
Primary practice address
2820 N Kelly Ave Suite 200
Edmond OK 73003-3007
Phone: (405) 726-8000
Fax: (405) 726-8101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24371 | Oklahoma |
Profile Details
| NPI number | 1164482501 |
|---|---|
| LBN Legal business name | Edgmon, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | May 27th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164482501 | NPPES |
| Oklahoma | Other | 33536 | OBNDD |
| Oklahoma | Other | 24371 | OBNDD |
| Oklahoma | MEDICAID | 200057440A | OBNDD |
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