Odquist, Kimberly

Odquist, Kimberly is an individual health care provider with primary practice located at 6800 Nw 39Th Expy , Bethany OK 73008-2513. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Odquist, Kimberly can be contacted via phone (405) 440-9866.

Contact Information

Primary practice address
6800 Nw 39Th Expy Bethany OK 73008-2513
Phone: (405) 440-9866
Fax: (404) 440-6747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 4385 Oklahoma

Profile Details

NPI number 1306106216
LBN Legal business name Odquist, Kimberly
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Oct 19th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306106216 NPPES
Oklahoma MEDICAID 200433030A

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