MEDICARE: KIMBERLY A ALLEN ARNP

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	363LP2300X	Primary Care Nurse Practitioner	RO64944	OK

General Provider Information

NPI Number	:	1932340478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY A ALLEN ARNP

Provider Business Mailing Address
First Line	:	608 NW 9TH ST STE 6200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1017
Country	:	US
Telephone Number	:	405-272-7677
Fax Number	:	405-231-3783

Provider Business Practice Location Address
First Line	:	608 NW 9TH ST STE 6200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1017
Country	:	US
Telephone Number	:	405-272-7677
Fax Number	:	405-231-3783

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

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	04/06/2012

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Directions to “ KIMBERLY A ALLEN ARNP” Practice Location

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