Organization
KIPP TULSA COLLEGE PREPARATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WOLFKILL (EXECUTIVE DIRECTOR)
(918) 925-1599
Entity
Organization
Contact information
Practice address
1661 E VIRGIN ST, TULSA, OK 74106-5552
(918) 925-1580
(918) 325-1590
Mailing address
1661 E VIRGIN ST, TULSA, OK 74106-5552
(918) 925-1580
(918) 325-1590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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