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

Kim Maki

Individual provider Physician Assistant · NPI 1790419117

Kim Maki is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Tulsa Bone and Joint Associates PC, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2022
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Practice location Address checks out

4802 S 109th East Ave
Tulsa, OK 74146-5822
Phone: (918) 392-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4713 S 167th East Ave, Tulsa, OK 74134-7131 — (918) 810-9308

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5464 (OK)

Record details

NPI number1790419117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address4802 S 109th East Ave, Tulsa, OK 74146-5822

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tulsa Bone And Joint Associates Pc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa