Provider Demographics
NPI:1508972548
Name:KLIMKINA, OKSANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:
Last Name:KLIMKINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:GORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1244 RAEFORD LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1862
Mailing Address - Country:US
Mailing Address - Phone:859-219-2393
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37927207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0741040Medicare ID - Type Unspecified
KYH91132Medicare UPIN