| NPI | 1750045860 |
|---|---|
| Doing Business As | PUGET SOUND KIDNEY CENTER-PORT ORCHARD |
| Entity Type | Organization |
| Authorized Contact | HAROLD KELLY President & CEO 425-259-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |