person
Kenny Susanto, MD
Neurology Physician in Tulsa, Oklahoma
NPI 1255783270

Kenny Susanto is a Neurology Physician based in Tulsa, OK and is specialized in Neurology. Kenny Susanto practices in Tulsa, OK and has the professional credentials of MD. The NPI Number for Kenny Susanto is 1255783270 and holds a License No. 1.065004 (Oklahoma).

The current practice location address for Kenny Susanto is 2000 S Wheeling Ave Ste 701, Tulsa, OK and can be reached out via phone at 918-748-7810.

Location: 2000 S Wheeling Ave Ste 701, Tulsa, OK, 74104-5647
person
Provider Profile Details
NPI Number
1255783270
Provider Name
Kenny Susanto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 S Wheeling Ave Ste 701, Tulsa, OK, 74104-5647
Phone Number
918-748-7810
Fax Number
Provider Enumeration Date
07/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 S Wheeling Ave Ste 701
City
State
Zip
74104-5647
Phone Number
918-748-7810
Fax Number
person
Provider Business Mailing Address Details
Address
2000 S Wheeling Ave Ste 701
City
State
Zip
74104-5647
Phone Number
918-748-7810
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
1.065004 (Connecticut)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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