Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hazelwood, MO
NPI number
1194786814
Active
Practice location
637 Dunn Rd, Ste 125
Hazelwood, MO 63042-1757
Fax (314) 731-8084
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...
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- Christy KobernusPhysical Therapist Hazelwood, MO NPI 1497122162
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- Earline Abigail Brownridge, MDPediatrics Physician Hazelwood, MO NPI 1124177704
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- Meredith Huffman, DPTOrthopedic Physical Therapist Hazelwood, MO NPI 1144602210
Other end-stage renal disease (esrd) treatment clinic/center providers in Hazelwood
About NPI 1194786814
Dva Renal Healthcare Inc's National Provider Identifier is 1194786814, issued on Mar 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hazelwood, MO. The record was last updated on Sep 3, 2026.