Samuel Kimbrough, PA-C Valid NPI
Individual provider · Physician Assistant · Edmond, OK
- NPI
- 1265134498
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-23
Practice location
1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084
(405) 844-4978