| Doctor Name: | ELIZABETH ANN KIMBALL |
| NPI Number: | 1225465768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN FNP-BC |
| License Number: | 0112653 |
| Business Practice Address: | 523 E State Rd Fairview, OK - 737371453 |
| Business Phone Number: | 5802273721 |
| Business Fax Number: | 5802271382 |
| Mailing Address: | 523 E State Rd, FAIRVIEW |
| State: | OK |
| Postal Code: | 737371453 |
| Phone Number: | 5802273721 |
| Fax Number: | 5802271382 |
| NPI Enumeration Date: | 09/30/2013 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0112653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |