Organization · Type 2 NPI
Wakonda Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Salem, UT
NPI number
1992223556
Active
Practice location
555 W State Road 164 Ste 101
Salem, UT 84653-5732
Fax (801) 798-7237
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...
About NPI 1992223556
Wakonda Dialysis LLC's National Provider Identifier is 1992223556, issued on Sep 5, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Salem, UT. The record was last updated on Oct 28, 2024.