OrganizationActive
Kids Pediatric and Adolescent Care
NPI 1285891945 · Pediatric Adolescent Medicine Physician · Tulsa, OK
Provider details
- NPI number
- 1285891945
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Knippers, Physician/Owner(918) 394-5437
- License
- 13860 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7711 E 111th St
Suite 111
Tulsa, OK 74133-2570
Phone: (918) 394-5437
Approximate (ZIP-level) locationGet directions
Mailing address
7711 E 111th St
Tulsa, OK 74133-2570
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.