Organization
KIMIKO AND TEDESCO LLC
Active
Other names
Kimiko Medical Aesthetics, Green Country Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANN H TEDESCO (OFFICE MANAGER)
(918) 600-0026
Entity
Organization
Contact information
Practice address
11911 S OXFORD AVE STE 200, TULSA, OK 74137-7778
(918) 600-0026
(918) 600-0690
Mailing address
11911 S OXFORD AVE STE 200, TULSA, OK 74137-7778
(918) 600-0026
(918) 600-0690
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790951747
COMMUNITY CARE
OK
05
—
1790951747
—
OK
Enumeration date
01/20/2022
Last updated
09/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us