MKB Enterprises LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MKB ENTERPRISES LLC

Practice address

650 S Cherokee St
Catoosa, OK 74015-3093

Phone

(918) 645-3331

Fax

(918) 297-8814

NPI assigned

Dec 30, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelly Ann Bailey, FNP-CNPI 1477418135

Title

Owner

Phone

(918) 645-3331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ann Bailey, APRN-FNP-C

  • Family Nurse Practitioner
  • Catoosa, OK
  • NPI 1477418135
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1003772468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S CHEROKEE ST",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153093",
            "telephone_number": "918-645-3331",
            "fax_number": "918-297-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S CHEROKEE ST",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740153093",
            "telephone_number": "918-645-3331",
            "fax_number": "918-297-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKB ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-645-3331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstaff PC
• Meagan Kay Meffert, APRN-CNP-,FNP-C
• Hannah Elizabeth Meredith
• Soren Chase Michaelsen, DDS
• Madelaine Diane Miller
• Nicole R Monroe
• Ayngi Montgomery, M.ED M.DIV LPC NCC
• Rafael Keith Morales, DMD
• Movement Cube LLC
• Jenna Gabriela Mullins

• Primary Care Clinic/Center in Catoosa, OK
• Providers in Catoosa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.