institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southgate, Kentucky
NPI 1013970110

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, KY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Southgate, KY. The NPI Number for Dva Renal Healthcare Inc is 1013970110 and holds a License No. 300121 (Kentucky).

The current practice location address for Dva Renal Healthcare Inc is 525 Alexandria Pike, Southgate, KY and can be reached out via phone at 859-442-5539 and via fax at 859-442-5587.

Location: 525 Alexandria Pike, Southgate, KY, 37027-7569
institution
Provider Profile Details
NPI Number
1013970110
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
525 Alexandria Pike, Southgate, KY, 37027-7569
Phone Number
859-442-5539
Fax Number
859-442-5587
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2121457 05 OH
3900020300 05 KY
institution
Provider Business Practice Location Address Details
Address
525 Alexandria Pike
City
State
Zip
41071-3243
Phone Number
859-442-5539
Fax Number
859-442-5587
person
Provider Business Mailing Address Details
Address
525 Alexandria Pike
City
State
Zip
41071-3243
Phone Number
859-442-5539
Fax Number
859-442-5587
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
300121 (Kentucky)
Definition
Definition to come...
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