Psychiatry & Neurology, Neurology
KENNY SUSANTO MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255783270 · enumerated 2016-07-02 · record updated 2022-06-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2000 S WHEELING AVE STE 701, TULSA, OK, 74104-5647 Google Maps Apple Maps OpenStreetMap
- Practice location 2000 S WHEELING AVE STE 701, TULSA, OK, 74104-5647 (918) 748-7810 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology 2084N0400X · License 1.065004 CT
- Psychiatry & Neurology, Neurology 2084N0400X · License 008863 GA
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License 38794 OK
In this directory
Locations and evidence
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Practice location
TULSA, OK, 741045647
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.