Individual
DR. BRYAN KENT LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11106 S YALE AVE STE 100, TULSA, OK 74137-7620
(918) 895-7000
(918) 895-7213
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099790C
—
OK
Enumeration date
10/19/2006
Last updated
11/18/2019
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