OKLAHOMA KIDNEY CENTER INC. NPI 1649280702

NPI Information

  • NPI: 1649280702
  • Provider Name: OKLAHOMA KIDNEY CENTER, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: INTERNAL MEDICINE CLINIC
  • Address: 2200 SW 59TH ST
    OKLAHOMA CITY, OK
    ZIP 73119
  • Phone: (405) 682-0721

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NPI Details

OKLAHOMA KIDNEY CENTER, INC. is a specialist in Oklahoma City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OKLAHOMA KIDNEY CENTER, INC. NPI is 1649280702. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Internal Medicine Clinic.

The provider's business location address is:

2200 SW 59TH ST
OKLAHOMA CITY, OK
ZIP 73119-027
Phone: (405) 682-0721
Fax: (405) 682-0757

The provider's authorized official is Henry M Allen .
The authorized official title is Owner/president and has the following contact phone number (405) 682-0721.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 12/11/2009.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist2596OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100129880AMEDICAIDOKLAHOMA
2400522127MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMAGROUP
3100742430AMEDICAIDOKLAHOMA
4E48026MEDICARE UPINOKLAHOMA
5447547952PMEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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