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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