National Provider Identifier Database

KIDS PEDIATRIC AND ADOLESCENT CARE
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

KIDS PEDIATRIC AND ADOLESCENT CARE
7711 E 111TH ST
SUITE 111
TULSA, OK74133-2570
Phone: 918-394-5437
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for KIDS PEDIATRIC AND ADOLESCENT CARE

NPI Number 1285891945
Legal business name
LBN
KIDS PEDIATRIC AND ADOLESCENT CARE
Authorized official JOHN KNIPPERS - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/20/2008
Last updated 05/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 13860

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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