Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Oklahoma Renal Services, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1891083929

Southern Oklahoma Renal Services, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1107 Walnut Dr
Ardmore, OK 73401-2354
Phone: (580) 223-8614
Fax: (580) 223-2561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 20569 (OK)

Record details

NPI number1891083929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdul Khan — Owner · (580) 223-8614
NPI enumeratedJuly 11, 2011
Last updated in NPPESJuly 11, 2011
Mailing address1107 Walnut Drive, Ardmore, OK 73401

Other providers in Ardmore