OrganizationActive
Kickingbird Family Medicine PLLC
NPI 1699963264 · Clinic/Center · Edmond, OK
Kickingbird Family Medicine PLLC is a Clinic/Center organization in Edmond, OK (NPI 1699963264).
Provider details
- NPI number
- 1699963264
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Jones, Owner(405) 330-1478
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2820 N Kelly Ave
Suite 200
Edmond, OK 73003-3007
Phone: (405) 330-1478
Fax: (405) 330-6231
Street-level locationGet directions
Mailing address
Po Box 31266
Edmond, OK 73003-0022
Other names (DBA / former)
- Doing business as
- Coffee Creek Medical Clinic
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2008-02-04
Frequently asked questions
- What is Kickingbird Family Medicine PLLC's NPI number?
- Kickingbird Family Medicine PLLC's National Provider Identifier (NPI) is 1699963264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kickingbird Family Medicine PLLC?
- Kickingbird Family Medicine PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kickingbird Family Medicine PLLC located?
- Kickingbird Family Medicine PLLC's practice location on file with NPPES is 2820 N Kelly Ave, Edmond, OK 73003-3007.
- What is Kickingbird Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kickingbird Family Medicine PLLC is (405) 330-1478.
- Who is the authorized official for Kickingbird Family Medicine PLLC?
- The authorized official listed on Kickingbird Family Medicine PLLC's NPPES record is Timothy Jones, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kickingbird Family Medicine PLLC's NPI active?
- Yes — Kickingbird Family Medicine PLLC's NPI (1699963264) is active in the NPPES registry as of the last update on 2008-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.