Kinzie, Timothy L.
Kinzie, Timothy L. is an individual health care provider with primary practice located at 7050 Air Depot Blvd , Tinker Afb OK 73145-8716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kinzie, Timothy L. can be contacted via phone (405) 734-2778.Contact Information
Primary practice address
7050 Air Depot Blvd
Tinker Afb OK 73145-8716
Phone: (405) 734-2778
Fax: (405) 736-3128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3166 | Oklahoma |
Profile Details
| NPI number | 1689757528 |
|---|---|
| LBN Legal business name | Kinzie, Timothy L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 3rd, 2026 - about 8 months 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 | 1689757528 | NPPES |
| Missouri | MEDICAID | 245824404 |
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