KYLE J MANGELS MD PLC NPI 1902498686

NPI Information

KYLE J MANGELS MD, PLC is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KYLE J MANGELS MD, PLC NPI is 1902498686. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Km Neurosurgery Clinic.

The provider's business location address is:

6802 S OLYMPIA AVE STE 275
TULSA, OK
ZIP 74132-848
Phone: (918) 600-0327
Fax: (918) 732-9229

The provider's authorized official is Brittney Payne .
The authorized official title is Office Manager and has the following contact phone number (918) 600-0327.

The CLIA number assigned to this NPI record is 37D2214146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2021 and was last updated on 6/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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