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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1164482501 NPPES
Oklahoma Other 33536 OBNDD
Oklahoma Other 24371 OBNDD
Oklahoma MEDICAID 200057440A OBNDD

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