Dr Kimberly Ann Milford, MD | |
1500 E Downing St Ste 102, Tahlequah, OK 74464-3354 | |
(918) 207-0773 | |
(918) 207-0774 |
Full Name | Dr Kimberly Ann Milford |
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Gender | Female |
Speciality | Pediatrics |
Location | 1500 E Downing St Ste 102, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285824045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101244224 (Virginia) | Secondary |
208000000X | Pediatrics | 30442 (Oklahoma) | Primary |
Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
Mailing Address | Practice Location Address |
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Dr Kimberly Ann Milford, MD Po Box 751, Hulbert, OK 74441-0751 Ph: (918) 772-3390 | Dr Kimberly Ann Milford, MD 1500 E Downing St Ste 102, Tahlequah, OK 74464-3354 Ph: (918) 207-0773 |
Dr. Elaine Kennedy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Pediatrics Clinic, Tahlequah, OK 74464 Phone: 918-458-3120 | |
Dr. Gary Lynn Gaston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 | |
Megan Melott Moss, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314 | |
Angel Javier Morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3279 | |
Edward Ernest Gustavson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314 | |
Mrs. Kailey Madison Haley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 |