Organization · Type 2 NPI
Caddoan Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kansas City, KS
NPI number
1306381942
Active
Practice location
2852 W 47th Ave
Kansas City, KS 66103-3243
Fax (913) 403-1848
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1306381942
Caddoan Dialysis LLC's National Provider Identifier is 1306381942, issued on Jan 5, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kansas City, KS. The record was last updated on May 15, 2025.