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General NPI Number Information
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NPI Number | 1588640965
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Entity Type | Individual
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Provider Name | KAREN K KINNEY MD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 711 STANTON L YOUNG BLVD PPB SUITE 430
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5023
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Country | US
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Telephone | 405-271-5068
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Fax | 405-271-6434
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Provider Business Mailing Address
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Address Line | 1122 NE 13TH ST ORI 236
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-1039
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Country | US
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Telephone | 405-271-1515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 34096
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 34096
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 20283
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License Number State | OK
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