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

Kimberly Rene Buffalo, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1356829352

Kimberly Rene Buffalo, NURSEPRACTITIONER is a Nurse Practitioner in Grove, Oklahoma. Qualified in 2023, 3 years ago. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2104 S Main St
Grove, OK 74344-5356
Phone: (918) 964-7071
Fax: (800) 872-8213
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 212781 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0080324 (OK)

Record details

NPI number1356829352
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 1, 2018
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Grove