| NPI | 1134872476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI P BHIMANI Medical Director/Member 502-583-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |