institution
Southern Oklahoma Kidney Center Inc
Nephrology Physician in Ardmore, Oklahoma
NPI 1538273958

Southern Oklahoma Kidney Center Inc is a Nephrology Physician based in Ardmore, OK and is specialized in Nephrology. Southern Oklahoma Kidney Center Inc practices in Ardmore, OK. The NPI Number for Southern Oklahoma Kidney Center Inc is 1538273958 and holds a License No. 20569 (Oklahoma).

The current practice location address for Southern Oklahoma Kidney Center Inc is 2611 Crossroads Drive, Ardmore, OK and can be reached out via phone at 580-223-8614 and via fax at 580-223-2561. You can also correspond with Southern Oklahoma Kidney Center Inc through the mailing address at PO BOX 637, ARDMORE, OK - 73402-0637 (mailing address contact number: 580-223-8614).

Location: 2611 Crossroads Drive, Ardmore, OK, 73402-0637
institution
Provider Profile Details
NPI Number
1538273958
Provider Name
Southern Oklahoma Kidney Center Inc
Credential
Provider Entity Type
Organization
Address
2611 Crossroads Drive, Ardmore, OK, 73402-0637
Phone Number
580-223-8614
Fax Number
580-223-2561
Provider Enumeration Date
08/19/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN6026 01 OK MEDICARE RAILROAD
DN6026 01 TX MEDICARE RAILROAD
200124150A 05 OK
194130401 05 TX
DP2512 01 TX RAILROAD MEDICARE TX
institution
Provider Business Practice Location Address Details
Address
2611 Crossroads Drive
City
State
Zip
73401
Phone Number
580-223-8614
Fax Number
580-223-2561
person
Provider Business Mailing Address Details
Address
2611 Crossroads Drive
City
State
Zip
73401
Phone Number
580-223-8614
Fax Number
580-223-2561
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
20569 (Oklahoma)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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