Doctor Name: | MRS. KIMBERLY KAY COBB |
NPI Number: | 1134351141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A03297 |
Business Practice Address: | 1103 Dewey Ave Poteau, OK - 749534411 |
Business Phone Number: | 9186493777 |
Business Fax Number: | 9186493891 |
Mailing Address: | Po Box 1236, POTEAU |
State: | OK |
Postal Code: | 749531236 |
Phone Number: | 9186493777 |
Fax Number: | 9186493891 |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |