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Contact Information

KELLY K KOZHULENKO, NP
2409 NW 172ND CIR
EDMOND, OK73012-0010
 Phone: 405-227-3130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY K KOZHULENKO · (Female)

NPI # 1679237887
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/25/2021
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 205825
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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