Wise, Kimberly Marie
Wise, Kimberly Marie is an individual health care provider with primary practice located at 2201 Mckown Dr , Norman OK 73072-6682. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wise, Kimberly Marie can be contacted via phone (405) 329-5613.Contact Information
Primary practice address
2201 Mckown Dr
Norman OK 73072-6682
Phone: (405) 329-5613
Fax: (405) 360-7747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 19103 | Oklahoma |
Profile Details
| NPI number | 1710915178 |
|---|---|
| LBN Legal business name | Wise, Kimberly Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 31st, 2008 - about 18 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 | 1710915178 | NPPES |
| Oklahoma | MEDICAID | 1437184181 |
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