Organization
KSCO HOME DIALYSIS OF STILLWATER OK LLC
Active
Organization
KSCO HOME DIALYSIS OF STILLWATER OK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY CARTER MD (MANAGER)
(405) 920-7049
Entity
Organization
Contact information
Practice address
1525 S WESTERN, STILLWATER, OK 74074
(405) 920-7049
Mailing address
3366 NW EXPRESSWAY STE 550, OKLAHOMA CITY, OK 73112-4489
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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