10zero5 Ventures, INC

NPI #1790455590 in Shawnee, Oklahoma

Provider Information

NPI Number: 1790455590
Entity Type: Organization
Organization Name: 10zero5 Ventures, INC
Subpart: Yes (part of a larger organization)
Parent Organization: NKR ENTERPRISES, APRN-CNP, PLLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 4409 N KICKAPOO AVE STE 121
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1225
Phone: (405) 585-0475

Authorized Official

Name: KATIE LUANNE FROST, APRN-CNP
Title: NP/OWNER
Phone: (405) 585-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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