Doctor Name: | MRS. KIMBERLY S HOVSEPIAN |
NPI Number: | 1891872933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 1500651 |
Business Practice Address: | 3151 E River Rd Newkirk, OK - 746477517 |
Business Phone Number: | 5803621039 |
Business Fax Number: | 5803622988 |
Mailing Address: | 3151 E River Rd, Po Box 474 NEWKIRK |
State: | OK |
Postal Code: | 746477517 |
Phone Number: | 5803621039 |
Fax Number: | 5803622988 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1500651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |