Kimbrough, Pamela Lynn

Kimbrough, Pamela Lynn is an individual health care provider with primary practice located at 970 Northwest Blvd , Ardmore OK 73401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kimbrough, Pamela Lynn can be contacted via phone (580) 221-7500.

Contact Information

Primary practice address
970 Northwest Blvd Ardmore OK 73401
Fax: (580) 490-9841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16248 Oklahoma

Profile Details

NPI number 1295706612
LBN Legal business name Kimbrough, Pamela Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 4th, 2008 - about 18 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 1295706612 NPPES
Oklahoma MEDICAID 100151890A

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