| Pamela Lynn Kimbrough, MD | |
|
970 Northwest Blvd, Ardmore, OK 73401 | |
| (580) 221-7500 | |
| (580) 490-9841 |
| Full Name | Pamela Lynn Kimbrough |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 970 Northwest Blvd, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295706612 | NPI | - | NPPES |
| 100151890A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 16248 (Oklahoma) | Primary |
| Entity Name | Lifes Cycle Womens Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386738201 PECOS PAC ID: 4688617251 Enrollment ID: O20050604000080 |
| Entity Name | Good Shepherd Community Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285010413 PECOS PAC ID: 4284936337 Enrollment ID: O20160106000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Lynn Kimbrough, MD Po Box 216, Ardmore, OK 73402-0216 Ph: (580) 221-7500 | Pamela Lynn Kimbrough, MD 970 Northwest Blvd, Ardmore, OK 73401 Ph: (580) 221-7500 |
Henry Ramirez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 224 N Rockford Rd Ste 201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009 | |
Kelsey Jordan Lemay, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw Ste 201, Ardmore, OK 73401 Phone: 580-226-3003 Fax: 580-298-3124 | |
Dr. Mark Edward Melton, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 N Commerce St, Suite #204, Ardmore, OK 73401 Phone: 580-226-3003 Fax: 580-798-3124 |