IVAN KOZHULENKO

OKLAHOMA CITY, OK
NPI1023592805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  127368)
Enumeration Date2018-09-18
Last Update Date2020-12-17
Business Address
IVAN KOZHULENKO CRNA
920 STANTON L YOUNG BLVD STE WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
Mailing Address
IVAN KOZHULENKO CRNA
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351