MEDICARE: RED KEY WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1407746977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED KEY WELLNESS, LLC

Provider Business Mailing Address
First Line	:	3931 NW DELLA ST
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73072-1236
Country	:	US
Telephone Number	:	405-206-4167
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 MAGNOLIA CT STE 113
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73160-1420
Country	:	US
Telephone Number	:	405-595-1115
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRANDI KAMMERER
Credential	:	APRN
Telephone Number	:	405-206-4167

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	08/29/2025

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Directions to “RED KEY WELLNESS, LLC ” Practice Location

Language	Start Address	Practice Location

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