Kickingbird Family Medicine Pllc in Edmond - Clinic/center

Kickingbird Family Medicine Pllc - NPI 1699963264

Kickingbird Family Medicine Pllc is a Clinic/center in Edmond, Oklahoma. Kickingbird Family Medicine Pllc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Kickingbird Family Medicine Pllc is 1699963264. The last update date is 2008-02-04.

Kickingbird Family Medicine Pllc's current location address is Po Box 31266, Edmond, Oklahoma. You can contact this provider via phone number 4053301478 and fax number 4053306231. The mailing address for Kickingbird Family Medicine Pllc is Po Box 31266, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kickingbird Family Medicine Pllc
Address Po Box 31266, Edmond, Oklahoma
Phone Number 4053301478
Fax Number 4053306231
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jones Brian Timothy
Credentials M.D.
Telephone Number 4053301478

NPI Number Detail

NPI Number 1699963264
Provider Enumeration Date 2007-10-09
Last Updated Date 2008-02-04

Provider Mailing Address Detail

Address Po Box 31266
City Edmond
State Oklahoma (OK)
Post Code 730030022
Phone Number 4053301478
Fax Number 4053306231

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Kickingbird Family Medicine Pllc

What is the unique identifier code issued to Kickingbird Family Medicine Pllc by the Centers for Medicare & Medicaid Services (CMS)?

The Kickingbird Family Medicine Pllc has been assigned the NPI (National Provider Identifier) 1699963264. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kickingbird Family Medicine Pllc is physically located?

The Kickingbird Family Medicine Pllc is situated at the following address: Po Box 31266, Edmond, OK 730030022.

What is Kickingbird Family Medicine Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kickingbird Family Medicine Pllc is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699963264 to Kickingbird Family Medicine Pllc?

The Centers for Medicare & Medicaid Services originally issued the 1699963264 to Kickingbird Family Medicine Pllc on 2007-10-09.

As of what date was the information pertaining to Kickingbird Family Medicine Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kickingbird Family Medicine Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-04.

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