Provider Demographics
NPI:1952547275
Name:BARNES, KIMBERLY N (NP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:N
Last Name:BARNES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:NICOLE
Other - Last Name:BURLEIGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1000 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1207
Mailing Address - Country:US
Mailing Address - Phone:405-271-5183
Mailing Address - Fax:405-271-1897
Practice Address - Street 1:1010 SW SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-1531
Practice Address - Country:US
Practice Address - Phone:580-248-5890
Practice Address - Fax:580-585-6621
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK100943363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health