| NPI | 1124301601 |
|---|---|
| Doing Business As | DSI LOUISVILLE RENAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMMY J. BAKER Managed Care Coordinator 615-234-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: KY 300115) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-30 |