| NPI | 1073831954 |
|---|---|
| Doing Business As | PEDIATRICS DIALYSIS SERVICE AT WESLEY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE CASTLEBERRY CFO 316-962-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-10-20 |