Organization · Type 2 NPI
Kidney Life, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hazlet, NJ
NPI number
1700815487
Active
Practice location
3053 State Route 35
Hazlet, NJ 07730-1526
Fax (732) 203-0279
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 | 41302 (NJ) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1700815487
Kidney Life, LLC's National Provider Identifier is 1700815487, issued on Jul 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hazlet, NJ. The record was last updated on Mar 11, 2025.