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Organization

KIDS PEDIATRIC AND ADOLESCENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN C KNIPPERS M.D. (PHYSICIAN/OWNER)
(918) 394-5437
Entity
Organization

Contact information

Practice address
7711 E 111TH ST, SUITE 111, TULSA, OK 74133-2570
(918) 394-5437
Mailing address
7711 E 111TH ST, SUITE 111, TULSA, OK 74133-2570
(918) 394-5437

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
13860
OK

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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