Organization · Type 2 NPI
Kidney Life, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Newark, NJ
NPI number
1821646035
Active
Practice location
262 Broad St
Newark, NJ 07104-3809
Fax (973) 268-2802
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...
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About NPI 1821646035
Kidney Life, LLC's National Provider Identifier is 1821646035, issued on Aug 30, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Newark, NJ. The record was last updated on Jun 3, 2025.