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Kimiko And Tedesco Llc
Plastic and Reconstructive Surgery Physician in Tulsa, Oklahoma
NPI 1396497319

Kimiko And Tedesco Llc is a Plastic and Reconstructive Surgery Physician based in Tulsa, OK and is specialized in Plastic and Reconstructive Surgery. Kimiko And Tedesco Llc practices in Tulsa, OK. The NPI Number for Kimiko And Tedesco Llc is 1396497319 and holds a License No. (Oklahoma).

The current practice location address for Kimiko And Tedesco Llc is 5555 E 71St Street, Tulsa, OK and can be reached out via phone at 918-600-0026 and via fax at 918-600-0024.

Location: 5555 E 71St Street, Tulsa, OK, 74136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396497319
Provider Name
Kimiko And Tedesco Llc
Credential
Provider Entity Type
Organization
Address
5555 E 71St Street, Tulsa, OK, 74136
Phone Number
918-600-0026
Fax Number
918-600-0024
Provider Enumeration Date
01/20/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790951747 01 OK AETNA
1790951747 01 OK HEALTH CHOICE
1790951747 01 OK GLOBAL HEALTH
1790951747 01 OK COMMUNITY CARE
1790951747 01 OK PREFERED COMMUNITY CHOICE
1790951747 01 OK BLUE CROSS BLUE SHIELD
1790951747 01 OK UNITED HEALTHCARE
1790951747 01 OK CIGNA
1790951747 01 OK VA
1790951747 05 OK
1790951747 01 OK PHCS
institution
Provider Business Practice Location Address Details
Address
5555 E 71St Street
City
Tulsa
State
Oklahoma
Zip
74136
Phone Number
918-600-0026
Fax Number
918-600-0024
person
Provider Business Mailing Address Details
Address
5555 E 71St Street
City
Tulsa
State
Oklahoma
Zip
74136
Phone Number
918-600-0026
Fax Number
918-600-0024
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
()
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
()
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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