Organization · Type 2 NPI

Kingston Dialysis LLC

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

NPI number 1740657402 Active

Practice location

1715 Iron Horse Dr Ste 170
Longmont, CO 80501-9617

Call (303) 485-4084 Map

Fax (303) 485-4081

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	None listed

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

Other end-stage renal disease (esrd) treatment clinic/center providers in Longmont

See all in Longmont →

NPI record

NPI: 1740657402
Entity type: Organization (Type 2)
Issued: Aug 28, 2015
Last updated: Feb 4, 2025
Status: Active

Other names

<unavail>
Longmont Dialysis Center · doing business as
Longmont Dialysis Center · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1740657402

Kingston Dialysis LLC's National Provider Identifier is 1740657402, 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 Longmont, CO. The record was last updated on Feb 4, 2025.