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

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