Individual provider · Type 1 NPI

Kimberly Michell Scaggs, AGACNP

Acute Care Nurse Practitioner · Ada, OK

NPI number 1144077553 Active

Practice location

430 N Monte Vista St
Ada, OK 74820-4657

Fax (580) 421-1384

Mailing address

5630 Triple L Rd
Davis, OK 73030-9486

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X217660 (OK)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1144077553

Kimberly Michell Scaggs, AGACNP's National Provider Identifier is 1144077553, issued on May 2, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ada, OK. The record was last updated on May 2, 2024.