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

Tracy Adelle Kidwell, DO

Individual provider Family Medicine Physician · NPI 1033197496

Tracy Adelle Kidwell, DO is a Family Practice in Midwest City, Oklahoma. Qualified in 1998, 28 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Licensed in
OK
In the registry since
2006
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

1800 S Douglas Blvd
Midwest City, OK 73130-6224
Phone: (405) 741-7722
Fax: (405) 741-7757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3700 N Kickapoo Ave, Shawnee, OK 74804-1707 — (405) 273-6383

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3809 (OK)

Record details

NPI number1033197496
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address1800 S Douglas Blvd, Midwest City, OK 73130-6224

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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