Kevin J Klos, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

24389 Issued in OK

Practice address

7134 S Yale Ave
Ste 205
Tulsa, OK 74136-6378

Phone

(918) 392-4530

Fax

(918) 392-4535

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kevin.klos@direct.stjohnhealthsystem.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HEDACA/Endpoint/HEDACA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1912923012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366378",
            "telephone_number": "918-392-4530",
            "fax_number": "918-392-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366378",
            "telephone_number": "918-392-4530",
            "fax_number": "918-392-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOS",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "24389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tetyana Volodymyrivna Klimenko, APRN
• Kristina Michelle Kline, MD
• Teresa Kline, NP
• Karl Bodily Klingler, DDS
• Kyle Klish, PHARMD
• Christina Kluczny, APRN-CNM
• Jacqueline L Kluemper, LCSW
• Connor Kluth
• Kristi Kmetz, DPT
• Kimberely Dawn Kmita, CNM, ARNP

• All providers in Tulsa, OK
• Neurological Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.