Individual
DR. KEVIN TODD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2448 E 81ST ST STE 1100, TULSA, OK 74137-4205
(918) 505-3400
(918) 508-7070
Mailing address
2448 E 81ST ST STE 1100, TULSA, OK 74137-4205
(918) 505-3400
(918) 508-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100199470C
—
OK
Enumeration date
03/31/2006
Last updated
04/13/2023
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