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NPI Code Detail

MEDICARE: KEVON ALEXANDER BIRANG

MEDICARE: KEVON ALEXANDER BIRANG
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
1363A00000XPhysician Assistant4949OK
2363A00000XPhysician AssistantPA.9725CO

General Provider Information

NPI Number : 1447928858
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVON ALEXANDER BIRANG
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-502-1900
Fax Number : 918-494-6303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 06/17/2026

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Directions to “ KEVON ALEXANDER BIRANG ” Practice Location

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