Kimberly Ann Harris, is a
Licensed Practical Nurse based in Fort Gibson, Oklahoma. Kimberly Ann Harris is licensed to practice in Oklahoma (license number 60013) and her current practice location is
720 Straight St, Fort Gibson, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 568-5715.
NPI number for Kimberly Ann Harris is 1093563025 and her current mailing address is 720 Straight St, Fort Gibson, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093563025.
Provider's Profile
Full Name | Kimberly Ann Harris |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 720 Straight St, Fort Gibson, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093563025
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 05/06/2024
Medical Identifiers
Medical identifiers for Kimberly Ann Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093563025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 60013 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ann Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Ann Harris, 720 Straight St, Fort Gibson, OK 74434-8260 Ph: (918) 568-5715 | Kimberly Ann Harris, 720 Straight St, Fort Gibson, OK 74434-8260 Ph: (918) 568-5715 |
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