Organization · Type 2 NPI

Provo Kidney Care LLC

Nephrology Physician · Waltham, MA

NPI number 1972056893 Active

About NPI 1972056893

Provo Kidney Care LLC's National Provider Identifier is 1972056893, issued on Jul 27, 2016. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Waltham, MA. The record was last updated on Jul 27, 2016.