Organization
UTICA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM KENDALL (OFFICE MANAGER)
(918) 743-8941
Entity
Organization
Contact information
Practice address
1589 E 19TH ST, TULSA, OK 74120-7629
(918) 743-8941
Mailing address
1589 E 19TH ST, TULSA, OK 74120-7629
(918) 743-8941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
05/11/2020
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