| NPI | 1386694099 |
|---|---|
| Doing Business As | OLYMPIC PENINSULA KIDNEY CENTER SOUTH |
| Entity Type | Organization |
| Authorized Contact | KATRINA ARDEL RUSSELL Administrator 206-915-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-12-15 |