IndividualActive
Kelly Kozhulenko, NP
NPI 1679237887 · Primary Care Nurse Practitioner · Edmond, OK
Provider details
- NPI number
- 1679237887
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 205825 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2409 Nw 172nd Cir
Edmond, OK 73012-0010
Phone: (405) 227-3130
Approximate (ZIP-level) locationGet directions
Mailing address
2409 Nw 172nd Cir
Edmond, OK 73012-0010
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.