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NPI Code Detail

MEDICARE: KENDRA STORMO

MEDICARE: KENDRA STORMO
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
1363L00000XNurse Practitioner225515OK

General Provider Information

NPI Number : 1578443917
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA STORMO
Provider Business Mailing Address
First Line : 1491 S SUNNYLANE RD
Second Line :
City : DEL CITY
State : OK
Zip : 73115-3037
Country : US
Telephone Number : 405-437-2240
Fax Number : 661-231-3153
Provider Business Practice Location Address
First Line : 1491 S SUNNYLANE RD
Second Line :
City : DEL CITY
State : OK
Zip : 73115-3037
Country : US
Telephone Number : 405-437-2235
Fax Number : 661-231-3153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2025
Last Update Date : 03/21/2026

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Directions to “ KENDRA STORMO ” Practice Location

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