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GREGORY KEYTON BLAYLOCK
NPI 1982274684
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 25, 2021
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Keyton Blaylock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY KEYTON BLAYLOCK (NPI 1982274684) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1982274684
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY KEYTON BLAYLOCK
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1204 Sw 21st StWagoner, OK 74467-8021 · (918) 519-3001
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1982274684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 W 17TH ST, Tulsa, OK 74107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE ALLEN BENJAMIN PH.D.
Specialist (Research Study)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1222
PREMIER LABS, LLC
Clinical Medical Laboratory
1111 W 17TH ST, ATTN: JARRAD WAGNER
TULSA, OK 74107
Tulsa County (541) 301-8476
STATE OF OKLAHOMA
Clinical Medical Laboratory
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1421
GABRIEL JIMENEZ
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (504) 330-2592
JONATHAN HERRICK
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
TYRUS SCHMALZ
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
ALICIA TOMLIN DO
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
JOSHUA GEORGE
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions

What is Gregory Blaylock's NPI number?

The NPI number assigned to this healthcare provider is 1982274684, enumerated as an "individual" on June 25, 2021.

Where is the provider located?

The provider is located at 1111 W 17TH ST TULSA, OK 74107 and the phone number is (918) 582-1972.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.