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

Kaleb T Blackwell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528840162

Kaleb T Blackwell is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Works from 3 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 579-2367
Show map & directions

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

Additional practice locations (2)

  • 1120 S Utica Ave, Tulsa, OK 74104-4012 — (918) 579-1000
  • 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 582-1972

Specialties & licences

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

Record details

NPI number1528840162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4502 E 41st St, Tulsa, OK 74135-2536

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