Ksco Home Dialysis of Stillwater Ok LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KSCO HOME DIALYSIS OF STILLWATER OK LLC

Practice address

1525 S Western
Stillwater, OK 74074

Phone

(405) 920-7049

NPI assigned

Apr 10, 2026

Organization subpart

No

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

Authorized official

Name

Bradley Carter, MD

Title

Manager

Phone

(405) 920-7049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1700729316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S WESTERN",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-920-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSCO HOME DIALYSIS OF STILLWATER OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-920-7049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Knott
• Julie Koch, PH.D., LHSP
• Nicholas A Koemel, MS, RD
• Neal G Kohnke, R.PH
• Rachel Korn
• KSS Durable Medical Supply
• Crystal Kubicek
• Edward David Kuekes, MD
• Lanita Jo Kusik, SPEECH PATHOLOGIST
• Erin Kyle, R.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stillwater, OK
• Providers in Stillwater, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.