Kohl Kimmel
NPI 1336966647 · Physician Assistant · Yukon, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kohl Kimmel is a Physician Assistant provider in Yukon, OK (NPI 1336966647).
Provider details
- NPI number
- 1336966647
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5634 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (7)
- 2825 Parklawn DrMidwest City, OK 73110-4201Phone: (405) 610-4411
- 201 S Sara RdMustang, OK 73064-4306Phone: (405) 376-4505
- 13401 N Western AveOklahoma City, OK 73114-1408Phone: (405) 252-3400
- 13500 S Tulsa DrOklahoma City, OK 73170-9719Phone: (405) 815-5600
- 1000 N Lee AveOklahoma City, OK 73102-1036Phone: (405) 272-7000
- 3400 S Douglas BlvdOklahoma City, OK 73150-1001Phone: (405) 815-5600
- 1102 W Macarthur StShawnee, OK 74804-1743Phone: (405) 273-2270
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Kohl Kimmel's NPI number?
- Kohl Kimmel's National Provider Identifier (NPI) is 1336966647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kohl Kimmel's specialty?
- Kohl Kimmel is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kohl Kimmel located?
- Kohl Kimmel's practice location on file with NPPES is 1608 Castle Rock Rd, Yukon, OK 73099-4429.
- What is Kohl Kimmel's phone number?
- The practice phone number listed in the NPPES registry for Kohl Kimmel is (405) 301-9988.
- Does Kohl Kimmel accept Medicare?
- Kohl Kimmel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kohl Kimmel's NPI active?
- Yes — Kohl Kimmel's NPI (1336966647) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.