Organization · Type 2 NPI
Kidney Center of Highway 58, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chattanooga, TN
NPI number
1114237880
Active
Practice location
4803 Highway 58, Suite B
Chattanooga, TN 37416-1826
Mailing address
3810 Brainerd Rd
Chattanooga, TN 37411-3729
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 1114237880
Kidney Center of Highway 58, LLC's National Provider Identifier is 1114237880, issued on Oct 15, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chattanooga, TN. The record was last updated on Jan 17, 2014.