Individual
BRANDON KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4812 S 109TH EAST AVE, TULSA, OK 74146-5826
(918) 236-4500
Mailing address
4812 S 109TH EAST AVE, TULSA, OK 74146-5826
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
399
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
59.000978
OH
Other
Enumeration date
03/28/2020
Last updated
04/17/2024
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