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Contact Information

KIMBERELY D KMITA, CNM, ARNP
1120 S UTICA AVE
STE. G100
TULSA, OK74104-4012
 Phone: 918-392-0175
 Fax: 918-392-0176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERELY D KMITA · (Female)

NPI Number 1679598809
Status Active
Credentials CNM, ARNP
Entity Individual
Enumeration date 07/12/2006
Last updated 03/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 66134
  • OK License # R0066134
  • OK Medicaid 200064280A
  • OK Other 1679598809 NPI #
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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