| NPI | 1073394631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI BHIMANI Owner/Medical Director 502-583-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |