Oklahoma Kidney Care Dialysis, Llc in Oklahoma City - End-stage Renal Disease (esrd) Treatment
Oklahoma Kidney Care Dialysis, Llc - NPI 1669658472
Oklahoma Kidney Care Dialysis, Llc is a End-stage Renal Disease (esrd) Treatment in Oklahoma City, Oklahoma. Oklahoma Kidney Care Dialysis, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Oklahoma Kidney Care Dialysis, Llc is 1669658472. The last update date is 2009-05-01.
Oklahoma Kidney Care Dialysis, Llc's current location address is 13901 Mcauley Blvd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057485812 and fax number 4057485818. The mailing address for Oklahoma Kidney Care Dialysis, Llc is 13901 Mcauley Blvd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Oklahoma Kidney Care Dialysis, Llc |
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Address | 13901 Mcauley Blvd, Oklahoma City, Oklahoma |
Phone Number | 4057485812 |
Fax Number | 4057485818 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEMBER PRE |
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Authorized Official Name | Wilson T Lorraine |
Credentials | M.D. |
Telephone Number | 4057485800 |
NPI Number Detail
NPI Number | 1669658472 |
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Provider Enumeration Date | 2008-01-11 |
Last Updated Date | 2009-05-01 |
Provider Mailing Address Detail
Address | 13901 Mcauley Blvd |
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City | Oklahoma City |
State | Oklahoma (OK) |
Post Code | 731348700 |
Phone Number | 4057485812 |
Fax Number | 4057485818 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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What is the unique provider identifier assigned to Oklahoma Kidney Care Dialysis, Llc?
The Oklahoma Kidney Care Dialysis, Llc has been issued the NPI (National Provider Identifier) 1669658472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Oklahoma Kidney Care Dialysis, Llc?
The Oklahoma Kidney Care Dialysis, Llc is physically situated at 13901 Mcauley Blvd, in the city of Oklahoma City, state of OK, with the postal code 731348700.
What is Oklahoma Kidney Care Dialysis, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Oklahoma Kidney Care Dialysis, Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
On what date did the Oklahoma Kidney Care Dialysis, Llc receive its 1669658472 assignment from the Centers for Medicare & Medicaid Services?
The Oklahoma Kidney Care Dialysis, Llc was assigned its 1669658472 by the Centers for Medicare & Medicaid Services on 2008-01-11.
As of what date were the details related to Oklahoma Kidney Care Dialysis, Llc most recently updated or revised?
The information pertaining to Oklahoma Kidney Care Dialysis, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-01.