Organization · Type 2 NPI
Kidney Life, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Neptune, NJ
NPI number
1063446912
Active
Practice location
2180 Bradley Ave
Neptune, NJ 07753-4427
Fax (732) 775-0500
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 22845 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1063446912
Kidney Life, LLC's National Provider Identifier is 1063446912, issued on Jul 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Neptune, NJ. The record was last updated on Jun 17, 2025.