Organization · Type 2 NPI

Kentwood Home Dialysis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kentwood, LA

NPI number 1306240684 Active

Practice location

800 3rd St
Kentwood, LA 70444-2746

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X202586 (LA)

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

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About NPI 1306240684

Kentwood Home Dialysis's National Provider Identifier is 1306240684, issued on Oct 15, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kentwood, LA. The record was last updated on Mar 17, 2015.