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1093713331
THOMAS KELLY TKACH
OKLAHOMA CITY, OK
NPI
1093713331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OK 17380)
Enumeration Date
2005-07-11
Last Update Date
2019-08-09
Business Address
THOMAS KELLY TKACH MD
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 405-230-9000
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Mailing Address
THOMAS KELLY TKACH MD
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 405-230-9000
Copy
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