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

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X205825 (OK)

Primary Care Nurse Practitioner: Definition to come...

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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.