NPI 1104929009 · live from the CMS NPI Registry
Kim S Elkin, RN
Registered Nurse, Psych/Mental Health, Adult in Clinton, OK. National Provider Identifier 1104929009, active.
NPI record
| NPI | 1104929009 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 90th N. 31st, Clinton, OK 73601 |
| Practice phone | 580-323-6021 |
| Mailing address | 1909 Linwood St, Weatherford, OK 73096 |
| Enumerated | September 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | R0081907 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.