NPI | 1063438042 |
---|---|
Doing Business As | KENNEBEC KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | BARRY L BLANTON Vice President 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-04-23 |