Individual
KELBY LEE SUNARTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3300 NW 56TH ST STE 202, OKLAHOMA CITY, OK 73112-4401
(405) 702-9000
(405) 702-9090
Mailing address
3300 NW 56TH ST STE 202, OKLAHOMA CITY, OK 73112-4401
(405) 702-9000
(405) 702-9090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108296
OK
363LW0102X
Women's Health Nurse Practitioner
108296
OK
Other
Enumeration date
06/27/2017
Last updated
09/11/2025
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