| NPI | 1982872248 |
|---|---|
| Doing Business As | CKD SERVICES OF UNIONTOWN |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Vice President, Treasure 781-699-2668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 133V00000X Dietitian, Registered | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2012-11-05 |