Individual
DR. CHRISTOPHER KELLY TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 STANTON L YOUNG BLVD, PPB-111, OKLAHOMA CITY, OK 73104-5023
(405) 271-4906
(405) 271-4910
Mailing address
920 STANTON L YOUNG BLVD, WP-1380, OKLAHOMA CITY, OK 73104-5036
(405) 271-5964
(405) 271-4917
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32408
OK
Other
Enumeration date
05/07/2016
Last updated
07/08/2020
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