NPI 1396497319

Kimiko and Tedesco LLC

Organisation Procedural Dermatology Physician Tulsa, OK

Practice location

Address: 11911 S Oxford Ave STE 200, Tulsa, OK 74137-7778
Phone: (918) 600-0026
Fax: (918) 600-0690

Authorised official

Name: Breann H Tedesco
Title: Office Manager
Phone: (918) 600-0026

Registered specialties (3)

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Other Dermatology providers in Oklahoma →

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Other Plastic Surgery providers in Oklahoma →

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in Oklahoma →

Registry record

NPI: 1396497319
Entity type: Organization
NPI issued: 20 Jan 2022
Record last updated: 9 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.