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Individual

DR. KY GOODWIN DORSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 660-3132
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
39042
OK
2084P0800X
Psychiatry Physician
Primary
9661820-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201085580A
OK
Enumeration date
06/25/2009
Last updated
05/13/2026
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