Organization · Type 2 NPI

Kingston Dialysis LLC

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

NPI number 1922475672 Active

Practice location

1057 S Wadsworth Blvd Ste 100
Lakewood, CO 80226

Call (720) 962-6199 Map

Fax (720) 962-6196

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	12044X (CO)

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

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NPI record

NPI: 1922475672
Entity type: Organization (Type 2)
Issued: Aug 28, 2015
Last updated: Aug 3, 2026
Status: Active

Other names

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Lakewood Crossing Dialysis · doing business as
Lakewood Crossing Dialysis · doing business as

Authorized official

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

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About NPI 1922475672

Kingston Dialysis LLC's National Provider Identifier is 1922475672, 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 Aug 3, 2026.