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MAGNOLIA CLINIC
NPI 1639602873
Nurse Practitioner - Family in Shawnee, OK

Active since April 05, 2017
4409 N KICKAPOO AVE, SUITE 121, SHAWNEE, OK 74804(405) 249-0459 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA CLINIC (NPI 1639602873) is a healthcare organization registered as a family in Shawnee, Oklahoma and active in the NPI registry since April 2017. The organization lists Katie Luanne Frost, Aprn-cnp/owner, as its authorized official.

NPPES Registry Identity

NPI1639602873
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNKR ENTERPRISES, APRN-CNP, PLLC
Location Address4409 N KICKAPOO AVE, SUITE 121Shawnee, OK 74804-1206
Mailing Address4409 N Kickapoo Ave, Suite 121Shawnee, OK 74804-1206
Phone(405) 249-0459
Organization SubpartNo
Authorized OfficialKatie Luanne FrostAprn-cnp/owner · (405) 249-0459
Enumeration DateApril 5, 2017
✔ NPI 1639602873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 86085
4409 N KICKAPOO AVE, Shawnee, OK 74804
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Other Names 1

Doing Business AsMagnolia Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI ANNE-MARIE SULLIVAN
Nurse Practitioner (Family)
4409 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 242-4100
KALOB MICHAEL BLACKWELL PA-C
Physician Assistant (Medical)
4409 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 242-4100
OCEAN DENTAL, PC
Dentist (General Practice)
4409 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 273-7077
GKW - OPM LLC
Pain Medicine (Interventional Pain Medicine)
4409 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 242-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nkr Enterprises, Aprn-Cnp, PLLC's NPI number?

The NPI number for Nkr Enterprises, Aprn-Cnp, PLLC is 1639602873. It was assigned to this organization in the NPPES registry on April 5, 2017. The provider is doing business as Magnolia Clinic.

Where is Nkr Enterprises, Aprn-Cnp, PLLC located?

Nkr Enterprises, Aprn-Cnp, PLLC is located at 4409 N Kickapoo Ave Suite 121, Shawnee, OK 74804. The listed phone number is (405) 249-0459.

What is Nkr Enterprises, Aprn-Cnp, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nkr Enterprises, Aprn-Cnp, PLLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.