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Elliot Kimball
NPI 1912315409 · on the registry since 2014
Practice
- Address
- 316 S Midwest Blvd
Midwest City, OK 73110 - Phone
- (405) 733-5437
- Fax
- (405) 732-7741
- Organisation at this address
- Mid-Del Youth And Family Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Rehabilitation Practitioner
225400000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma