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Contact Information

KIMBERLY D DUROSSETTE, OD
3505 CHANDLER RD
MUSKOGEE, OK74403-4911
 Phone: 918-880-3937
 Fax: 918-539-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KIMBERLY D DUROSSETTE · (Female)

NPI # 1992732119
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/26/2006
Last updated 03/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 2359
  • OK Medicaid 200006780A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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