| 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 |