Individual
DR. JOHN KELLEY GEARHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6528 E 101ST ST, STE I, TULSA, OK 74133-6724
(918) 392-5588
(918) 392-5597
Mailing address
6528 E 101ST ST, STE. 1, TULSA, OK 74133-6724
(918) 392-5588
(918) 392-5597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106190A
—
OK
Enumeration date
12/27/2005
Last updated
05/01/2014
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