Organization
NKR ENTERPRISES, APRN-CNP, PLLC
Active
Other names
Magnolia Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LUANNE FROST APRN-CNP (APRN-CNP/OWNER)
(405) 249-0459
Entity
Organization
Contact information
Practice address
4409 N KICKAPOO AVE, SUITE 121, SHAWNEE, OK 74804-1206
(405) 249-0459
Mailing address
4409 N KICKAPOO AVE, SUITE 121, SHAWNEE, OK 74804-1206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86085
OK
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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