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Contact Information

ELLIOT KIMBALL
316 S MIDWEST BLVD
MIDWEST CITY, OK73110-4642
 Phone: 405-733-5437
 Fax: 405-732-7741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for ELLIOT KIMBALL · (Male)

NPI Number 1912315409
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2014
Last updated 07/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # H082956414
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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