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

Kyle C. Fraser, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1932679214

Kyle C. Fraser, MD is a Pathology in Tulsa, Oklahoma. Graduated from George Washington University School of Medicine in 2015, 11 years ago. Practices with Pathology Laboratory Associates, Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Utah.

Years since qualifying
11
Trained at
George Washington University School of Medicine
Licensed in
OK, UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone: (918) 744-2553
Fax: (918) 744-3482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 37896 (OK)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 11017906-1205 (UT)

Record details

NPI number1932679214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESAugust 19, 2021
Certification dateJuly 28, 2021
Mailing address4142 S Mingo Rd, Tulsa, OK 74146-3632

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Pathology Laboratory Associates, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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