Individual ProviderEbony KimbroughSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743(918) 492-2554PECOS EnrollmentBased on the most recent information from CMS, provider Ebony Kimbrough does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1861660391Provider TypeIndividualFull NameKimbrough, EbonyGenderFemaleSole ProprietorNoEnumeration Date2/19/2008Last Updated2/19/2008Contact InformationPractice LocationPractice Address7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743Phone(918) 492-2554FaxUnlisted FaxMailing LocationMailing Address1432 S Quebec Ave, Tulsa, OK 74112-6126PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer