Organization · Type 2 NPI

Central Kentucky Dialysis Centers LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bardstown, KY

NPI number 1982664306 Active

Practice location

210 W John Fitch Ave
Bardstown, KY 40004-1115

Call (502) 350-1130 Map

Fax (502) 350-1125

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	300161 (KY)

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

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NPI record

NPI: 1982664306
Entity type: Organization (Type 2)
Issued: Mar 28, 2006
Last updated: Jun 12, 2024
Status: Active

Other names

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Bardstown Dialysis Center · doing business as
Bardstown Dialysis Center · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982664306

Central Kentucky Dialysis Centers LLC's National Provider Identifier is 1982664306, issued on Mar 28, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bardstown, KY. The record was last updated on Jun 12, 2024.