Kimberly Edgmon MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIMBERLY EDGMON MD, PLLC

Practice address

2820 N Kelly Ave
Suite 200
Edmond, OK 73003-3007

Phone

(405) 726-8000

Fax

(405) 726-8101

NPI assigned

Jan 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Edgmon, MD

Title

Owner

Phone

(405) 726-8000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1831556612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N KELLY AVE",
            "address_2": "SUITE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033007",
            "telephone_number": "405-726-8000",
            "fax_number": "405-726-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N KELLY AVE",
            "address_2": "SUITE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033007",
            "telephone_number": "405-726-8000",
            "fax_number": "405-726-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY EDGMON MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "EDGMON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-726-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Killackey, RN, BSN, MS
• Susan Haesook Kim
• Grace Kimani
• Kimberly a. S Pears Me, LPC, Inc.
• Kimberly Dean Ma LMFT PLLC
• Samuel Kimbrough, PA-C
• Gina Kincade
• Kindred Wings
• Catherine Marie Kindt, APRN, FNP-C
• Erin Elisabeth King-Bickle, LPC

• Pediatrics Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.