SOUTHERN OKLAHOMA RENAL SERVICES, LLC
NPI 1891083929
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ardmore, OK

Active since July 11, 2011
1107 WALNUT DR, ARDMORE, OK 73401(580) 223-8614(580) 223-2561 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Oklahoma Renal Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OKLAHOMA RENAL SERVICES, LLC (NPI 1891083929) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ardmore, Oklahoma and active in the NPI registry since July 2011. The organization lists Abdul N Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1891083929
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTHERN OKLAHOMA RENAL SERVICES, LLC
Location Address1107 WALNUT DRArdmore, OK 73401-2354
Mailing Address1107 Walnut DriveArdmore, OK 73401 · (580) 223-8614 · Fax (580) 223-2561
Fax(580) 223-2561
Organization SubpartNo
Authorized OfficialAbdul N KhanOwner · (580) 223-8614
Enumeration DateJuly 11, 2011
NPI 1891083929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in OK · 20569
1107 WALNUT DR, Ardmore, OK 73401

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1107 WALNUT DR
ARDMORE, OK 73401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oklahoma Renal Services, LLC's NPI number?

The NPI number for Southern Oklahoma Renal Services, LLC is 1891083929. It was assigned to this organization in the NPPES registry on July 11, 2011.

Where is Southern Oklahoma Renal Services, LLC located?

Southern Oklahoma Renal Services, LLC is located at 1107 Walnut Dr, Ardmore, OK 73401. The listed phone number is (580) 223-8614.

What is Southern Oklahoma Renal Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Southern Oklahoma Renal Services, LLC was last updated on July 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.