Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kansas City, KS

NPI number 1902865876 Active

Practice location

11014 Haskell Ave
Kansas City, KS 66109-4404

Call (913) 721-9780 Map

Fax (913) 721-9818

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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NPI record

NPI: 1902865876
Entity type: Organization (Type 2)
Issued: Mar 20, 2006
Last updated: May 23, 2024
Status: Active

Other names

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Wyandotte West Dialysis · doing business as
Wyandotte West Dialysis · doing business as

Authorized official

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

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About NPI 1902865876

Dva Healthcare Renal Care Inc's National Provider Identifier is 1902865876, issued on Mar 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Kansas City, KS. The record was last updated on May 23, 2024.