Organization · Type 2 NPI

Liberty Dialysis - Kokomo LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kokomo, IN

NPI number 1407052137 Active

Practice location

3760 S Reed Rd
Kokomo, IN 46902-3829

Call (765) 864-1669 Map

Fax (765) 864-1758

Mailing address

424 Church St, Suite 1900
Nashville, TN 37219-2301

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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NPI record

NPI: 1407052137
Entity type: Organization (Type 2)
Issued: Jun 21, 2007
Last updated: Mar 31, 2016
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

<unavail>
U.s. Renal Care Kokomo Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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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.

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About NPI 1407052137

Liberty Dialysis - Kokomo LLC's National Provider Identifier is 1407052137, issued on Jun 21, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kokomo, IN. The record was last updated on Mar 31, 2016.