Individual
JOHN H KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 E. 41ST STREET, SUITE 900, TULSA, OK 74135-5631
(918) 934-8347
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 934-8347
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT014362
PA
2085R0202X
Diagnostic Radiology Physician
Primary
5761
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
06/15/2011
Last updated
09/08/2025
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