| NPI | 1285901843 |
|---|---|
| Doing Business As | PROVIDENCE KIDNEY CARE |
| Entity Type | Organization |
| Authorized Contact | KATLYN L LEE Credentialing Specialist 509-474-2072 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-12-07 |