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Dermatology, Procedural Dermatology

KIMIKO AND TEDESCO LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1396497319 · enumerated 2022-01-20 · record updated 2025-09-09. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: Mrs. BREANN TEDESCO, Office Manager · (918) 600-0026

Other names: KIMIKO MEDICAL AESTHETICS, GREEN COUNTRY SURGICAL ARTS

Addresses and phones

Specialties

  • Surgery, Plastic and Reconstructive Surgery 2086S0122X
  • Plastic Surgery, Plastic Surgery Within the Head and Neck 2082S0099X
  • Dermatology, Procedural Dermatology 207NS0135X · Primary

In this directory

Locations and evidence

  • Practice location TULSA, OK, 741377778
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.