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Individual

KEVIN J KLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7134 S YALE AVE, STE 205, TULSA, OK 74136-6378
(918) 392-4530
(918) 392-4535
Mailing address
7134 S YALE AVE, STE 205, TULSA, OK 74136-6378
(918) 392-4530
(918) 392-4535

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24389
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200086020A
OK
Enumeration date
07/14/2006
Last updated
03/07/2017
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