Mangels, Kyle Joe

Mangels, Kyle Joe is an sole proprietor health care provider with primary practice located at 6802 S Olympia Ave Ste 275 , Tulsa OK 74132-1848. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Other Service Providers / Specialist is his primary health care specialty. Mangels, Kyle Joe can be contacted via phone (918) 600-0327.

Contact Information

Primary practice address
6802 S Olympia Ave Ste 275 Tulsa OK 74132-1848
Phone: (918) 600-0327
Fax: (918) 732-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22694 Oklahoma
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 22694 Oklahoma

Profile Details

NPI number 1174585640
LBN Legal business name Mangels, Kyle Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated May 9th, 2024 - about 7 months 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 1174585640 NPPES
Oklahoma MEDICAID 100138240A
Oklahoma Other 140008042

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