| Kimberly Rene Buffalo, NURSE PRACTITIONER | |
|
2104 S Main St, Grove, OK 74344-5356 | |
| (918) 964-7071 | |
| (800) 872-8213 |
| Full Name | Kimberly Rene Buffalo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2104 S Main St, Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356829352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R0080324 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 212781 (Oklahoma) | Primary |
| Entity Name | Musuma Health Care And Medical Spa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437799822 PECOS PAC ID: 7810309952 Enrollment ID: O20201215002014 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Rene Buffalo, NURSE PRACTITIONER 2104 S Main St, Grove, OK 74344-5356 Ph: (918) 964-7071 | Kimberly Rene Buffalo, NURSE PRACTITIONER 2104 S Main St, Grove, OK 74344-5356 Ph: (918) 964-7071 |
Sarah Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 918-786-8448 | |
Ms. Dorothy Ann Mayes, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 918-786-8448 Fax: 918-786-3483 | |
Christopher Gray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 E 13th St Ste 101, Grove, OK 74344 Phone: 918-786-9009 Fax: 405-951-9921 | |
Tracy L Fry, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Neo Loop, Grove, OK 74344 Phone: 877-783-4441 | |
Emily Ann Chandler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 E 13th St, Grove, OK 74344 Phone: 918-786-1909 Fax: 918-787-3866 | |
Amber Davis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 E 13th St Ste 200, Grove, OK 74344 Phone: 918-592-0999 | |
Joseph James Gelinas, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S Broadway St, Grove, OK 74344 Phone: 918-786-0800 Fax: 918-786-0876 |