Gancarczyk, Kevin Joseph

Gancarczyk, Kevin Joseph is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gancarczyk, Kevin Joseph can be contacted via phone (918) 749-8765.

Contact Information

Primary practice address
10901 E 48Th St Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 26830 Oklahoma

Profile Details

NPI number 1013983741
LBN Legal business name Gancarczyk, Kevin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013983741 NPPES
Oklahoma MEDICAID 200237950A

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