NPI | 1710327820 |
---|---|
Doing Business As | KENTUCKY WILDCAT SPECIALTY DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY Sr Director Licensure&Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2013-07-03 |
Last Update Date | 2023-09-12 |