Organization · Type 2 NPI
Kidney Life, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Old Bridge, NJ
NPI number
1164451852
Active
Practice location
262 Texas Rd, Ste 101
Old Bridge, NJ 08857-4008
Fax (732) 561-3448
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 | 22401 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1164451852
Kidney Life, LLC's National Provider Identifier is 1164451852, issued on Jul 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Old Bridge, NJ. The record was last updated on Mar 12, 2025.