Kipp Tulsa College Preparatory

NPI #1801156484 in Tulsa, Oklahoma

Provider Information

NPI Number
1801156484
Entity Type
Organization
Organization Name
Kipp Tulsa College Preparatory
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 17, 2012
Last Updated
May 17, 2012

Practice Location

Address
1661 E VIRGIN ST
City
Tulsa
ZIP Code
74106-5552
Phone
(918) 925-1580

Authorized Official

Name
MR. JOHN WOLFKILL
Title
EXECUTIVE DIRECTOR
Phone
(918) 925-1599

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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