| Kaimo Enterprises Llc | |
|
2328 N Interstate Dr Norman OK 73072-2991 | |
| (405) 857-2179 | |
| (405) 310-7677 |
| Full Name | Kaimo Enterprises Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2328 N Interstate Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Morgan Segrest (OWNER) |
| Authorized Official Contact | 4056646225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaimo Enterprises Llc 7201 Se 164th St Norman OK 73071-2791 Ph: (405) 664-6225 | Kaimo Enterprises Llc 2328 N Interstate Dr Norman OK 73072-2991 Ph: (405) 857-2179 |
| NPI Number | 1215704192 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2264877463 |
|---|---|
| Medicare Enrollment ID | O20240227004278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215704192 | NPI | - | NPPES |
| Provider Name | Morgan Leah Segrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573692 PECOS PAC ID: 7810253994 Enrollment ID: I20171106001143 |
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