Samuel Kimbrough, PA-C

NPI #1265134498 in Edmond, Oklahoma

Provider Information

NPI Number: 1265134498
Entity Type: Individual
Name: Samuel Kimbrough, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 21, 2023
Last Updated: Mar 23, 2023

Practice Location

Address: 1701 RENAISSANCE BLVD STE 110
City: Edmond
State: Oklahoma
ZIP Code: 73013-3084
Phone: (405) 844-4978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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