Thomas Kelly Tkach in Oklahoma City - Orthopaedic Surgery

Thomas Kelly Tkach - NPI 1093713331

Thomas Kelly Tkach is a Orthopaedic Surgery in Oklahoma City, Oklahoma. Thomas Kelly Tkach practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Thomas Kelly Tkach is 1093713331. The last update date is 2019-08-09.

Thomas Kelly Tkach's current location address is 9600 Broadway Ext, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052309000 and fax number 4052309157. The mailing address for Thomas Kelly Tkach is 9600 Broadway Ext, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Kelly Tkach
Address 9600 Broadway Ext, Oklahoma City, Oklahoma
Phone Number 4052309000
Fax Number 4052309157
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093713331
Provider Enumeration Date 2005-07-11
Last Updated Date 2019-08-09

Provider Mailing Address Detail

Address 9600 Broadway Ext
City Oklahoma City
State Oklahoma (OK)
Post Code 731147408
Phone Number 4052309000
Fax Number 4052309157

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 17380
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100095900A OK --
200022041 OK RAILROAD MEDICARE

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FAQs about Thomas Kelly Tkach

What is the unique provider identifier assigned to Thomas Kelly Tkach?

The Thomas Kelly Tkach has been issued the NPI (National Provider Identifier) 1093713331 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Thomas Kelly Tkach is geographically located?

The Thomas Kelly Tkach is physically situated at the following location: 9600 Broadway Ext, Oklahoma City, OK, 731147408.

What is the Thomas Kelly Tkach's area of specialization and corresponding taxonomy classification?

The Thomas Kelly Tkach's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.

On what date did the Thomas Kelly Tkach receive the assignment of its 1093713331 from the Centers for Medicare & Medicaid Services?

The Thomas Kelly Tkach was issued its 1093713331 by the Centers for Medicare & Medicaid Services on 2005-07-11.

As of what date was the information pertaining to Thomas Kelly Tkach, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Kelly Tkach, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-09.

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