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Contact Information

KIMBERLY A HARRIS
720 STRAIGHT ST
FORT GIBSON, OK74434-8260
 Phone: 918-568-5715
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY A HARRIS · (Female)

NPI Number 1093563025
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2024
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 60013
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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