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Contact Information

KIMBERLY J REEDER
315 N WESTERN AVE
TISHOMINGO, OK73460-4824
 Phone: 580-371-9300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY J REEDER · (Female)

NPI Number 1932793130
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2021
Last updated 10/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 200092
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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