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Kimiko and Tedesco LLC

Procedural Dermatology Physician in Tulsa, OK · enumerated 2022 · authorized official Breann Tedesco, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396497319

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Registry record

Entity type Organization (Type 2)
Legal business name Kimiko and Tedesco LLC
Other name <Unavail>
Practice address 11911 S Oxford Ave Ste 200, Tulsa, OK, 74137
Phone (918) 600-0026
Fax (918) 600-0690
Enumeration date Jan 20, 2022
Last updated in NPPES Sep 9, 2025

Taxonomy & classification

207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians Primary
2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians Secondary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Breann Tedesco
Title Office Manager
Phone (918) 600-0026

Other identifiers

Identifier Type State Issuer
1790951747 Other OK COMMUNITY CARE
1790951747 Medicaid OK -
1790951747 Other OK PHCS
1790951747 Other OK AETNA
1790951747 Other OK VA
1790951747 Other OK CIGNA
1790951747 Other OK UNITED HEALTHCARE
1790951747 Other OK BLUE CROSS BLUE SHIELD
1790951747 Other OK PREFERED COMMUNITY CHOICE
1790951747 Other OK GLOBAL HEALTH
1790951747 Other OK HEALTH CHOICE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kimiko and Tedesco LLC?
Kimiko and Tedesco LLC is registered in NPPES as a Procedural Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-09.