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General NPI Number Information
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NPI Number | 1932935251
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Entity Type | Organization
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Legal Business Name | KAREFIRST OKLAHOMA PC
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4300 W HOUSTON ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-4519
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Country | US
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Telephone | 847-235-6130
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Fax | 847-235-6135
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Provider Business Mailing Address
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Address Line | 6348 N MILWAUKEE AVE STE 390
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City | CHICAGO
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State | IL
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Zip | 60646-3728
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Country | US
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Telephone | 847-235-6130
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Fax | 847-235-6135
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY WILSON
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Credential | RN, APN, MSN
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Telephone | 773-552-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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