NPI 1790960474
Independence Technologies
Practice location
- Address
- 1725 W Reno St, Broken Arrow, OK 74012-1460
- Phone
- (918) 249-5065
- Fax
- (918) 249-5075
- Mailing address
- 2608 W Kenosha St Suite 622, Broken Arrow, OK 74012-8952
Authorised official
- Name
- Kevin Wayne Pentecost
- Title
- Managing Member
- Phone
- (918) 282-6111
Registered specialties
Emergency Response System Companies
Primary
Registry record
- NPI
- 1790960474
- Entity type
- Organization
- NPI issued
- 31 Dec 2007
- Record last updated
- 31 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.