SONG KIMPTON (NPI# 1245573401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245573401 |
| Entity Type | Individual |
| Full Name | SONG KIMPTON |
| Practice Address |
3801 Se 15th St Del City OK 73115-2237 |
| Practice Telephone | 4053176865 |
| Mailing Telephone | 4053176865 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3801 SE 15TH ST |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591458 | Austin Roberson | Counselor | 3321 Neighbors Ln, Del City, OK 73115-1964 | 2017-07-24 |
| 1366817108 | Candace Blassengill | Counselor | 4613 Se 23rd St, Del City, OK 73115-4103 | 2015-12-04 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1194147090 | Gary Schultz | Counselor | 5216 Se 53rd St, Del City, OK 73135-4306 | 2014-01-10 |
| 1982031100 | Ashley Nicole Polk | Counselor | 1920 Vickie Dr, Del City, OK 73115-3140 | 2013-10-02 |
| 1548606734 | Janet Pennanen | Counselor | 4625 Tinker Diagonal St, Apt 30, Del City, OK 73115-3970 | 2013-05-15 |
| 1619312154 | New Dimensions Youth and Family Counseling LLC | Counselor | 2836 Linda Ln, Del City, OK 73115-5012 | 2013-05-09 |
| 1346594850 | Kiminece Redae | Counselor | 5505 Main Street, Del City, OK 73115-1315 | 2012-11-06 |
| 1306110192 | Shayla Washington | Counselor | 4765 Se 27th St, Del City, OK 73115-4129 | 2012-02-27 |
| 1841572989 | Janet Kathryn Diehl | Counselor | 3817 Corbett Dr, Del City, OK 73115-2707 | 2011-09-14 |
| Find all providers in DEL CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.