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Kaleb King, MD

Family Medicine in Edmond, OK. Individual provider (NPI-1).

NPI number1942829171
StatusActive
Last updated in NPPESSep 7, 2023

Details

NPI
1942829171
Entity type
Individual (NPI-1)
Name
Kaleb King
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2020
Certification date
Sep 7, 2023
Last updated
Sep 7, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine41812OKYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1501 E 19th St
Edmond, OK 73013-6618

Phone 405-348-6611 · Fax 405-348-9280

Mailing address

1501 E 19th St
Edmond, OK 73013-6618

Phone 405-348-6611 · Fax 405-348-9280

Other practice locations

6051 U S Highway 49
Hattiesburg, MS 39401-7201

Phone 601-288-1212

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Edmond, OK

All 150 Family Medicine Physician providers in Edmond · All 5,217 providers in Edmond

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