Kyle Joe Mangels is a Specialist in Tulsa, Oklahoma. Kyle Joe Mangels practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kyle Joe Mangels is 1174585640. The last update date is 2022-08-12.
Kyle Joe Mangels's current location address is 6802 S Olympia Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9186000327 and fax number 9187329229. The mailing address for Kyle Joe Mangels is 6802 S Olympia Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Joe Mangels |
|---|---|
| Address | 6802 S Olympia Ave, Tulsa, Oklahoma |
| Phone Number | 9186000327 |
| Fax Number | 9187329229 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174585640 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2022-08-12 |
Provider Mailing Address Detail
| Address | 6802 S Olympia Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741321848 |
| Phone Number | 9186000327 |
| Fax Number | 9187329229 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 22694 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140008042 | OK | RAILROAD MEDICARE | |
| 100138240A | OK | -- |
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What is the unique 10-digit identifier code issued to Kyle Joe Mangels by the Centers for Medicare & Medicaid Services?
The Kyle Joe Mangels has been assigned the NPI (National Provider Identifier) 1174585640 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kyle Joe Mangels?
The Kyle Joe Mangels is physically situated at 6802 S Olympia Ave, in the city of Tulsa, state of OK, with the postal code 741321848.
What is Kyle Joe Mangels's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kyle Joe Mangels is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Kyle Joe Mangels's 1174585640 issued?
The Kyle Joe Mangels's 1174585640 was issued on 2006-04-03.
As of what date were the Kyle Joe Mangels's details last updated?
The information pertaining to the Kyle Joe Mangels, including its address, specialty, and other details, was most recently updated on 2022-08-12.