Individual
DR. KELLY KAZUAKI NAGASAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 S UTICA AVE FL 5, TULSA, OK 74104-6520
(918) 712-3366
(918) 403-6343
Mailing address
1923 S UTICA AVE FL 5, TULSA, OK 74104-6520
(918) 712-3366
(918) 403-6343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013-02425
NC
208600000X
Surgery Physician
34715
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34715
OK
Other
Enumeration date
06/19/2007
Last updated
08/02/2019
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