| NPI | 1881765204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARSHALL President 270-684-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: KY 300147) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 300147) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-08-14 |