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Tracy Kidwell, D.O

NPI 1033197496 · on the registry since 2006

Practice

Address
1800 S Douglas Blvd
Midwest City, OK 73130
Phone
(405) 741-7722
Fax
(405) 741-7757
Organisation at this address
Sooner Medical Management
Renaissance Physicians Of Midwest City Llc
Midwest City Hma Physician Management, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 3700 N Kickapoo Ave, Shawnee, OK

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma