Pratt, Kimball N

Pratt, Kimball N is an individual health care provider with primary practice located at 620 24Th Ave Sw , Norman OK 73069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Pratt, Kimball N can be contacted via phone (405) 325-5800.

Contact Information

Primary practice address
620 24Th Ave Sw Norman OK 73069
Phone: (405) 325-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301065100 Michigan
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 26028 Oklahoma

Profile Details

NPI number 1588608293
LBN Legal business name Pratt, Kimball N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 23rd, 2013 - about 12 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 1588608293 NPPES
Michigan MEDICAID 3147543-10
Michigan Other 1406100832
Michigan MEDICAID 200194340A

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