| NPI | 1740893932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S PAVEY Owner 785-827-7261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-05-10 |