Oklahoma Kidney Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2596 Issued in OK

Legal business name

OKLAHOMA KIDNEY CENTER, INC.

Practice address

2200 SW 59TH St
Oklahoma City, OK 73119-7027

Phone

(405) 682-0721

Fax

(405) 682-0757

NPI assigned

Aug 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry M Allen, D.O.NPI 1154382299

Title

Owner/President

Phone

(405) 682-0721

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• INTERNAL MEDICINE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry M Allen, D.O.

  • Specialist
  • Oklahoma City, OK
  • NPI 1154382299
  Medicare reassignment Authorized official
• Kevin C Conatser, DO

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1669450821
  NPD (past)
• Bruce D Cornett, DO

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518945757
  NPD (past)
• Lenard B Phillips, DO

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1225017270
  NPD (past)
• Monte D Veal, DO

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1174595599
  NPD (past)
• Glenn J Marcus, D.O.

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1568543791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1649280702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701513",
            "telephone_number": "405-321-5683",
            "fax_number": "405-329-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197027",
            "telephone_number": "405-682-0721",
            "fax_number": "405-682-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA KIDNEY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-682-0721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129880A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100742430A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERNAL MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oklahoma Heritage Home Care Inc.
• Oklahoma Hospital Medicine Physicians LLC
• Oklahoma Iop Center Inc
• Oklahoma Kidney Care Dialysis, LLC
• Oklahoma Kidney Care PC
• Oklahoma Kids Psychological Service Center
• Oklahoma League for the Blind
• Oklahoma Lithotripter Associates, L.C.
• Oklahoma Luna Care Physical Therapy LLC
• Oklahoma Medical Clinic LLC

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.