Organization · Type 2 NPI
Bluegrass Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Covington, KY
NPI number
1255566444
Active
Practice location
1500 James Simpson Jr Way, Ste 1100
Covington, KY 41011-0802
Fax (859) 261-4378
Mailing address
5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 300215 (KY) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1255566444
Bluegrass Dialysis LLC's National Provider Identifier is 1255566444, issued on May 18, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Covington, KY. The record was last updated on Jun 18, 2025.