Organization · Type 2 NPI
Pure Life Renal of Overland Park, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Overland Park, KS
NPI number
1083248181
Active
Practice location
11661 College Blvd Ste 106
Overland Park, KS 66210-4107
Mailing address
4000 Hollywood Blvd Ste 300N
Hollywood, FL 33021-1242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1083248181
Pure Life Renal of Overland Park, LLC's National Provider Identifier is 1083248181, issued on Feb 27, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Overland Park, KS. The record was last updated on Feb 27, 2020.