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Organization

THE KIDNEY TRANSPLANT AND RENAL DISEASES, LLC

Active
Other names
Pauls Valley Regional Kidney Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICK COLLINS (A/R MANAGER)
(866) 541-3690
Entity
Organization

Contact information

Practice address
310 S CHICKASAW ST, PAULS VALLEY, OK 73075-4218
(405) 238-7252
(405) 238-3242
Mailing address
PO BOX 268947, OKLAHOMA CITY, OK 73126-8947
(405) 751-3383
(405) 751-7808

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
06/10/2006
Last updated
08/22/2020
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