Healthcare Provider Details

I. General information

NPI: 1376380295
Provider Name (Legal Business Name): KIMBERLY HOLT-FLINT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 S MAIN ST STE 300
TULSA OK
74119-4452
US

IV. Provider business mailing address

1601 S MAIN ST STE 300
TULSA OK
74119-4452
US

V. Phone/Fax

Practice location:
  • Phone: 918-557-7356
  • Fax:
Mailing address:
  • Phone: 918-557-7356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: