MEDICARE: KIMBERLY SIEWERT

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1902773518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SIEWERT

Provider Business Mailing Address
First Line	:	5320 S NEWPORT AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6806
Country	:	US
Telephone Number	:	918-701-9140
Fax Number	:

Provider Business Practice Location Address
First Line	:	5320 S NEWPORT AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6806
Country	:	US
Telephone Number	:	918-851-9560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	03/02/2026

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Directions to “ KIMBERLY SIEWERT ” Practice Location

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