Tracy D Kuykendall
Dermatologist Procedural Dermatology
10115 E 80th St
Tulsa
, Oklahoma 74133-3416
Tracy D Kuykendall
Dermatologist Procedural Dermatology
10115 E 80th St
Tulsa
, Oklahoma 74133-3416
(918) 994-4403
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Tracy D Kuykendall
- Po Box 21052 Dept 22425
- Tulsa, OK
- Zip : 74121-1052
- Fax : (918) 994-4403
- Phone : (918) 994-4400
Second Address
- Tracy D Kuykendall
- 10115 E 80th St
- Tulsa, OK
- Zip : 74133-3416
- Fax : (918) 994-4403
- Phone : (918) 994-4400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 23494 | OK |
| N | 207NS0135X | Procedural Dermatology | 23494 | OK |
National Provider Identifier
| NPI | 1053450957 |
|---|---|
| Provider Name | Tracy D Kuykendall |
| First Address | Tulsa, OK 74121-1052 |
| Second Address | Tulsa, OK 74133-3416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 14/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.