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Contact Information

KEVIN J GANCARCZYK, MD
10901 E 48TH ST
TULSA, OK74146-5830
 Phone: 918-749-8765
 Fax: 918-392-2155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for KEVIN J GANCARCZYK · (Male)

NPI Number 1013983741
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 07/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 26830
  • OK Medicaid 200237950A
Hospital affiliation(s)
  • MCALESTER REGIONAL HEALTH CENTER - (Acute Care)
    ONE CLARK BASS BOULEVARD
    MCALESTER, OK 74501
  • OKLAHOMA SURGICAL HOSPITAL LLC - (Acute Care)
    2408 EAST 81ST STREET, SUITE 300
    TULSA, OK 74137
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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