Organization · Type 2 NPI
Kingston Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lakewood, CO
NPI number
1164890604
Active
Practice location
1750 Pierce St Ste A
Lakewood, CO 80214
Fax (303) 274-6096
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 | 12R950 (CO) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1164890604
Kingston Dialysis LLC's National Provider Identifier is 1164890604, issued on Sep 14, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lakewood, CO. The record was last updated on Jun 20, 2024.