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NPI Code Detail

MEDICARE: KIMBERLY THUYKHANH PHAM PA-C

MEDICARE: KIMBERLY THUYKHANH PHAM PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5811OK

General Provider Information

NPI Number : 1881545853
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY THUYKHANH PHAM PA-C
Provider Business Mailing Address
First Line : 1919 E MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73131-1253
Country : US
Telephone Number : 405-341-7009
Fax Number : 405-330-1811
Provider Business Practice Location Address
First Line : 1919 E MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73131-1253
Country : US
Telephone Number : 405-341-7009
Fax Number : 405-330-1811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/10/2026

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Directions to “ KIMBERLY THUYKHANH PHAM PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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