Organization · Type 2 NPI
Salem Kidney Center of Wake Forest University
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Winston Salem, NC
NPI number
1114904141
Active
Practice location
2705 Boulder Park Ct
Winston Salem, NC 27101-4776
Fax (336) 761-8864
Mailing address
PO Box 7350
Tifton, GA 31793-7350
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 1114904141
Salem Kidney Center of Wake Forest University's National Provider Identifier is 1114904141, issued on Dec 30, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 9, 2026.