Elrod, Kimberly Anne
Elrod, Kimberly Anne is an sole proprietor health care provider with primary practice located at 3101 Elk Dr , Mcalester OK 74501-7606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Elrod, Kimberly Anne can be contacted via phone (918) 426-2442.Contact Information
Primary practice address
3101 Elk Dr
Mcalester OK 74501-7606
Phone: (918) 426-2442
Fax: (918) 421-6963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1694 | Oklahoma |
Profile Details
| NPI number | 1447436316 |
|---|---|
| LBN Legal business name | Elrod, Kimberly Anne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2008 |
| Last updated | Oct 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447436316 | NPPES |
| Oklahoma | MEDICAID | 200133430A |
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