Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 21822 | OK |
NPI | 1154373488 |
---|---|
Provider Name | Dr. Larhonda Kay Sims |
First Address | Norman, OK 73070-1330 |
Second Address | Oklahoma City, OK 73112-4479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G-95508 | (02) | OK |