Healthcare Provider Details

I. General information

NPI: 1477458057
Provider Name (Legal Business Name): KAYSER MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2026
Last Update Date: 10/13/2026
Certification Date: 10/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6017 W PHOENIX CT
BROKEN ARROW OK
74011-1259
US

IV. Provider business mailing address

6017 W PHOENIX CT
BROKEN ARROW OK
74011-1259
US

V. Phone/Fax

Practice location:
  • Phone: 918-269-0725
  • Fax:
Mailing address:
  • Phone: 918-269-0725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ANTHONY KAYSER
Title or Position: OWNER
Credential: DO
Phone: 918-269-0725