Organization
WINDSOR PARK MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEHDINGA NUKUNA (OWNER)
(405) 605-5415
Entity
Organization
Contact information
Practice address
2512 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 605-5415
Mailing address
2512 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 605-5415
(405) 605-5310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200029970B
—
OK
01
—
37D1027083
CLIA #
OK
Enumeration date
01/08/2007
Last updated
03/10/2026
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