Organization · Type 2 NPI
PD Nephrology LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis, MO
NPI number
1942451380
Active
Practice location
10004 Kennerly Rd, Suite 103A
St. Louis, MO 63128-2173
Fax (314) 543-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | LC0921675 (MO) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1942451380
PD Nephrology LLC's National Provider Identifier is 1942451380, issued on Oct 3, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis, MO. The record was last updated on Feb 24, 2009.