Individual provider · Type 1 NPI
Kelly K. Kozhulenko, NP
Primary Care Nurse Practitioner · Edmond, OK
NPI number
1679237887
Active
Practice location
2409 NW 172nd Cir
Edmond, OK 73012-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 205825 (OK) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Edmond
About NPI 1679237887
Kelly K. Kozhulenko, NP's National Provider Identifier is 1679237887, issued on Oct 25, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Edmond, OK. The record was last updated on Oct 25, 2021.