Organization · Type 2 NPI

Kingston Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lakewood, CO

NPI number 1679940324 Active

Practice location

1750 Pierce St Ste C
Lakewood, CO 80214-1434

Call (303) 238-6111 Map

Fax (303) 462-0946

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	120492 (CO)

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

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NPI record

NPI: 1679940324
Entity type: Organization (Type 2)
Issued: Aug 28, 2015
Last updated: Jun 11, 2026
Status: Active

Other names

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Lakewood Dialysis Center · doing business as
Lakewood Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1679940324

Kingston Dialysis LLC's National Provider Identifier is 1679940324, issued on Aug 28, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lakewood, CO. The record was last updated on Jun 11, 2026.