Organization · Type 2 NPI

Kimball Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Scranton, PA

NPI number 1174899173 Active

Practice location

920 S Washington Ave
Scranton, PA 18505-3810

Call (570) 344-5267 Map

Fax (570) 963-2125

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	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Other end-stage renal disease (esrd) treatment clinic/center providers in Scranton

See all in Scranton →

NPI record

NPI: 1174899173
Entity type: Organization (Type 2)
Issued: Mar 24, 2012
Last updated: Oct 23, 2026
Status: Active

Other names

<unavail>
Commonwealth Dialysis · doing business as
Commonwealth Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1174899173

Kimball Dialysis LLC's National Provider Identifier is 1174899173, issued on Mar 24, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Scranton, PA. The record was last updated on Oct 23, 2026.