MEDICARE: DR. NORMAN KERR IMES M.D.

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	207RP1001X	Pulmonary Disease Physician	9429	OK
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	9429	OK

General Provider Information

NPI Number	:	1922064542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN KERR IMES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 57006
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73157-7006
Country	:	US
Telephone Number	:	405-600-1210
Fax Number	:	405-602-5756

Provider Business Practice Location Address
First Line	:	3613 NW 56 STE 150
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4506
Country	:	US
Telephone Number	:	405-600-1210
Fax Number	:	405-602-5756

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	11/28/2016

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Directions to “ DR. NORMAN KERR IMES M.D.” Practice Location

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