# MIDWEST CITY KIDNEY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Nephrology Associate
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184872194
- **Authorized official:** DR. MAUNG MAUNG KYI M.D. (PHYSICIAN)
- **Authorized official phone:** (405) 737-4900

## Contact information

- **Practice address:** 1201 S DOUGLAS BLVD, SUITE K, MIDWEST CITY, OK 73130-5239
- **Practice address phone:** (405) 737-4900
- **Practice address fax:** (405) 737-3606
- **Mailing address:** 1201 S DOUGLAS BLVD, SUITE K, MIDWEST CITY, OK 73130-5239
- **Mailing address phone:** (405) 737-4900
- **Mailing address fax:** (405) 737-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 01/15/2013