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NPI Code Detail

MEDICARE: DR. KIMBERLY ANN MILFORD MD

MEDICARE:  DR. KIMBERLY ANN MILFORD  MD
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
1208000000XPediatrics Physician0101244224VA
2208000000XPediatrics Physician30442OK

General Provider Information

NPI Number : 1285824045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY ANN MILFORD MD
Provider Business Mailing Address
First Line : PO BOX 751
Second Line :
City : HULBERT
State : OK
Zip : 74441-0751
Country : US
Telephone Number : 918-772-3390
Fax Number : 918-772-2244
Provider Business Practice Location Address
First Line : 1500 E DOWNING ST STE 102
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-3354
Country : US
Telephone Number : 918-207-0773
Fax Number : 918-207-0774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2007
Last Update Date : 06/04/2019

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Directions to “ DR. KIMBERLY ANN MILFORD MD” Practice Location

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