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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053006049

Kendall Fagan, DO is an Emergency Medicine in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (530) 526-1596
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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 number1053006049
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2023
Last updated in NPPESJuly 28, 2024
Certification dateJuly 28, 2024
Mailing address980 12th St, Idaho Falls, ID 83404-5051

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Creek Nation Hospital And Clinics — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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