Provider Demographics
NPI:1184779050
Name:ALWARD, ERIN KIMBERLY (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KIMBERLY
Last Name:ALWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-713-4400
Mailing Address - Fax:405-713-4473
Practice Address - Street 1:4833 INTEGRIS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8864
Practice Address - Country:US
Practice Address - Phone:405-657-3525
Practice Address - Fax:405-657-3849
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23918207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200163780AMedicaid
OKOK401423Medicare PIN
OK200163780AMedicaid