Kerley, Jimmy Michael

Kerley, Jimmy Michael is an individual health care provider with primary practice located at 104 Nw 31St , Lawton OK 73505. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kerley, Jimmy Michael can be contacted via phone (580) 536-2121.

Contact Information

Primary practice address
104 Nw 31St Lawton OK 73505
Phone: (580) 536-2121
Fax: (580) 536-2150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G3515 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G3515 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G3515 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 30531 Oklahoma

Profile Details

NPI number 1508803156
LBN Legal business name Kerley, Jimmy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 6th, 2014 - 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 1508803156 NPPES
Texas MEDICAID 138876102
Texas MEDICAID 138876106
Texas MEDICAID 13876404
Texas MEDICAID 138876112
Texas Other 8R1484
Texas MEDICAID 138876101
Texas MEDICAID 138876105
Texas MEDICAID 138876108
Texas MEDICAID 100101320A
Texas MEDICAID 138876111

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