Healthcare Provider Details

I. General information

NPI: 1477484343
Provider Name (Legal Business Name): HAILEY KATE HEWETT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 E 68TH ST
TULSA OK
74136-3307
US

IV. Provider business mailing address

3401 N ELM AVE APT 168
BROKEN ARROW OK
74012-1389
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-3636
  • Fax:
Mailing address:
  • Phone: 918-978-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: