MEDICARE: MR. KEHDINGA NUKUNA

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	363LF0000X	Family Nurse Practitioner	107829	OK

General Provider Information

NPI Number	:	1073172607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEHDINGA NUKUNA

Provider Business Mailing Address
First Line	:	2512 N MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-1035
Country	:	US
Telephone Number	:	405-605-5415
Fax Number	:	405-605-5310

Provider Business Practice Location Address
First Line	:	2512 N MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-1035
Country	:	US
Telephone Number	:	405-605-5415
Fax Number	:	405-605-5310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	03/10/2026

Similar Medicare Providers

1699823617 — WINDSOR PARK MEDICAL CLINIC, LLC
Practice Location Address:

2512 N MERIDIAN AVE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-605-5415
Practice Fax:

1184640112 — WINDSOR PARK MEDICAL CLINIC
Practice Location Address:

2512 N MERIDIAN AVE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-605-5415
Practice Fax: 405-605-5310

1386674984 — MICHAEL EDWARD HUME PA
Practice Location Address:

2512 NORTH MERIDIAN AVENUE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-605-5415
Practice Fax: 405-605-5310

1114951894 — YU-IL JOE KIM D.D.S.
Practice Location Address:

2528 N MERIDIAN AVE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-942-2875
Practice Fax: 405-942-2876

1346373818 — PREMIER DENTISTRY P.C.
Practice Location Address:

2528 N MERIDIAN AVE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-942-2876
Practice Fax:

1285824128 — WINDSOR PARK PHARMACY
Practice Location Address:

2506 N MERIDIAN AVE
OKLAHOMA CITY, OK
73107-1035

Practice Phone: 405-702-4747
Practice Fax: 405-702-4765

Directions to “ MR. KEHDINGA NUKUNA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.