KIDNEY CARE HOME SC

KENOSHA, WI
NPI1831822956
Entity TypeOrganization
Authorized ContactGANESH N PULLA
Owner/Medical Director
262-564-8636
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2022-07-06
Last Update Date2022-07-06
Business Address
KIDNEY CARE HOME SC
6125 GREEN BAY RD STE 200
KENOSHA, WI 53142-2945
Phone number: 262-564-8636
Mailing Address
KIDNEY CARE HOME SC
6125 GREEN BAY RD STE 200
KENOSHA, WI 53142-2945
Phone number: 262-564-8636
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