Individual
KYLE BIELEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 619-4400
(918) 634-7878
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 634-7878
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
29875
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497190A
—
OK
Enumeration date
03/06/2008
Last updated
09/14/2016
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