KELLY DUNN MD NPI 1477972495

NPI Information

  • NPI: 1477972495
  • Provider Name: KELLY DUNN, MD
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5310 E 31ST ST FL 11, STE 1102
    TULSA, OK
    ZIP 74135
  • Phone: (918) 561-1890

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NPI Details

Kelly Dunn, MD is an addiction medicine psychiatry neurology in Tulsa, OK with 11 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine Kelly Dunn, MD NPI is 1477972495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

5310 E 31ST ST FL 11, STE 1102
TULSA, OK
ZIP 74135-018
Phone: (918) 561-1890
Fax: (918) 561-1701

The NPI 1477972495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry30634OKLAHOMANo
22084A0401XPsychiatry & NeurologyAddiction Medicine30634OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200597110AMEDICAIDOKLAHOMA
2670528OTHEROKLAHOMAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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