ROBIN R POTTER-KIMBALL APRN P C NPI 1952508814

NPI Information

NPI: 1952508814
Provider Name: ROBIN R POTTER-KIMBALL APRN P C
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3037 NW 63RD ST
SUITE 104
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 286-4350
Get Directions

ROBIN R POTTER-KIMBALL APRN P C is a psychiatric/mental health registered nurse in Oklahoma City, OK. ROBIN R POTTER-KIMBALL APRN P C NPI is 1952508814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3037 NW 63RD ST
SUITE 104
OKLAHOMA CITY, OK
ZIP 73116-637
Phone: (405) 286-4350
Fax: (405) 286-4361

The provider's authorized official is Robin Potter Kimball .
The authorized official title is Owner and has the following contact phone number (405) 286-4350.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 9/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	R0046325	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P85665	MEDICARE UPIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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