Provider Demographics
NPI:1922064542
Name:IMES, NORMAN KERR (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:KERR
Last Name:IMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 57006
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-7006
Mailing Address - Country:US
Mailing Address - Phone:405-600-1210
Mailing Address - Fax:405-602-5756
Practice Address - Street 1:3613 NW 56 STE 150
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4506
Practice Address - Country:US
Practice Address - Phone:405-600-1210
Practice Address - Fax:405-602-5756
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK9429207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C95074Medicare UPIN