Provider Demographics
NPI:1801289665
Name:ZRENDA, KRISTYN JANELLE (DO)
Entity type:Individual
Prefix:
First Name:KRISTYN
Middle Name:JANELLE
Last Name:ZRENDA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KRISTYN
Other - Middle Name:JANELLE
Other - Last Name:FARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3400 NW EXPRESSWAY STE 815
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4492
Mailing Address - Country:US
Mailing Address - Phone:405-945-4990
Mailing Address - Fax:405-945-4991
Practice Address - Street 1:3400 NW EXPRESSWAY STE 815
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4492
Practice Address - Country:US
Practice Address - Phone:405-945-4990
Practice Address - Fax:405-945-4991
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6075208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics