TNI-KSO PC NPI 1215003314

NPI Information

TNI-KSO PC is a nephrology internal medicine in Tulsa, OK. The provider is 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. TNI-KSO PC NPI is 1215003314. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nephrology Specialists Of Oklahoma.

The provider's business location address is:

6465 S YALE AVE
SUITE 507
TULSA, OK
ZIP 74136-823
Phone: (918) 481-2763
Fax: (918) 481-2775

The provider's authorized official is Robert Gold .
The authorized official title is Vice-president and has the following contact phone number (918) 481-2763.

The CLIA number assigned to this NPI record is 37D0706219 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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