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

Kohl Jeffry Kimmel

Individual provider Physician Assistant · NPI 1336966647

Kohl Jeffry Kimmel is a Physician Assistant in Yukon, Oklahoma. Qualified in 2025, 1 year ago. Practices with Emergency Physicians of Mid-America PC, a 84-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2024

Practice location Address checks out

1608 Castle Rock Rd
Yukon, OK 73099-4429
Phone: (405) 301-9988
Show map & directions

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

Additional practice locations (7)

  • 2825 Parklawn Dr, Midwest City, OK 73110-4201 — (405) 610-4411
  • 201 S Sara Rd, Mustang, OK 73064-4306 — (405) 376-4505
  • 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 — (405) 815-5600
  • 13500 S Tulsa Dr, Oklahoma City, OK 73170-9719 — (405) 815-5600
  • 13401 N Western Ave, Oklahoma City, OK 73114-1408 — (405) 252-3400
  • 1000 N Lee Ave, Oklahoma City, OK 73102-1036 — (405) 272-7000
  • 1102 W Macarthur St, Shawnee, OK 74804-1743 — (405) 273-2270

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5634 (OK)

Record details

NPI number1336966647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address1608 Castle Rock Rd, Yukon, OK 73099-4429

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Physicians Of Mid-America Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Yukon