NPI 1023592805

Ivan Kozhulenko, CRNA

Practitioner Certified Registered Nurse Anesthetist Oklahoma City, OK

Practice location

Address: 920 Stanton L Young Blvd STE Wp1140, Oklahoma City, OK 73104-5036
Phone: (405) 271-4351
Fax: (405) 271-8695
Mailing address: PO Box 26901, Oklahoma City, OK 73126-0901

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 127368 (OK)

Other Nurse Anesthetist, Certified Registered providers in Oklahoma →

Registry record

NPI: 1023592805
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2018
Record last updated: 17 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.