Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Gray Kostal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720832017

Jesse Gray Kostal is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 619-4400
Fax: (918) 619-4334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720832017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 14, 2024

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