Mixon, Kimberlee R.

Mixon, Kimberlee R. is an individual health care provider with primary practice located at 600 S Monroe St , Enid OK 73701-7211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mixon, Kimberlee R. can be contacted via phone (580) 233-2300.

Contact Information

Primary practice address
600 S Monroe St Enid OK 73701-7211
Phone: (580) 233-2300
Fax: (580) 548-1489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1288 Oklahoma

Profile Details

NPI number 1598706491
LBN Legal business name Mixon, Kimberlee R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 12th, 2018 - about 7 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 1598706491 NPPES
Oklahoma MEDICAID 200037170A

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