MEDICARE: KABRICK & ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346247327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KABRICK & ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	4147 E 49TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-3217
Country	:	US
Telephone Number	:	918-664-6874
Fax Number	:

Provider Business Practice Location Address
First Line	:	4147 E 49TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-3217
Country	:	US
Telephone Number	:	918-664-6874
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHEN J KABRICK
Credential	:	P.T.
Telephone Number	:	918-664-6874

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/21/2022

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