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NPI 1477458057

NPI 1477458057 : KAYSER MEDICAL PLLC : BROKEN ARROW, OK

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General NPI Number Information
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    NPI Number           |    1477458057
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAYSER MEDICAL PLLC 
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Dates
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    Enumeration Date     |    10/13/2026
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    Last Update Date     |    10/13/2026
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Provider Practice Location Address
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    Address Line         |    6017 W PHOENIX CT 
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    City                 |    BROKEN ARROW
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    State                |    OK
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    Zip                  |    74011-1259
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    Country              |    US
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    Telephone            |    918-269-0725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6017 W PHOENIX CT 
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    City                 |    BROKEN ARROW
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    State                |    OK
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    Zip                  |    74011-1259
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    Country              |    US
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    Telephone            |    918-269-0725
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MICHAEL ANTHONY KAYSER 
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    Credential           |    DO
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    Telephone            |    918-269-0725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207SG0201X
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    Taxonomy Name        |    Clinical Genetics (M.D.) Physician
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    License Number       |    
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    License Number State |    
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