Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kia McCollum

Individual provider Family Nurse Practitioner · NPI 1083422109

Kia McCollum is a Nurse Practitioner in Lawton, Oklahoma. Qualified in 2024, 2 years ago. Practices with Southwestern Surgical Affiliates, LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

5602 SW Lee Blvd
Lawton, OK 73505-9699
Phone: (580) 581-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 220894 (OK)

Record details

NPI number1083422109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2024
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address5606 Sw Lee Blvd, Lawton, OK 73505-9688

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southwestern Surgical Affiliates, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lawton