Provider Demographics
NPI:1659812477
Name:BARRON, KIMBERLY DAWNE (DO)
Entity Type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:DAWNE
Last Name:BARRON
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Gender:F
Credentials:DO
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Mailing Address - Street 1:2345 SOUTHWEST BLVD
Mailing Address - Street 2:OSU HEALTH CARE CENTER
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-2705
Mailing Address - Country:US
Mailing Address - Phone:918-582-1980
Mailing Address - Fax:918-561-1289
Practice Address - Street 1:2345 SOUTHWEST BLVD
Practice Address - Street 2:OSU OMM CLINIC
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107
Practice Address - Country:US
Practice Address - Phone:918-561-1131
Practice Address - Fax:918-561-1140
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2024-02-19
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Provider Licenses
StateLicense IDTaxonomies
OK6358204C00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine