Kmita, Kimberely Dawn

Kmita, Kimberely Dawn is an individual health care provider with primary practice located at 1120 S Utica Ave Ste. G100, Tulsa OK 74104-4012. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kmita, Kimberely Dawn can be contacted via phone (918) 392-0175.

Contact Information

Primary practice address
1120 S Utica Ave Ste. G100 Tulsa OK 74104-4012
Phone: (918) 392-0175
Fax: (918) 392-0176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R0066134 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 66134 Oklahoma

Profile Details

NPI number 1679598809
LBN Legal business name Kmita, Kimberely Dawn
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 2nd, 2017 - about 9 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 1679598809 NPPES
Oklahoma MEDICAID 200064280A
Oklahoma Other 1679598809

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