Individual
RICHARD D KACERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7650
(918) 403-6341
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7650
(918) 403-6341
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22496
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0570630
—
IA
05
—
200254440
—
KS
05
—
47070592313
—
NE
Enumeration date
10/05/2006
Last updated
03/08/2018
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