institution
Nra-princeton, Kentucky, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Princeton, Kentucky
NPI 1154300564

Nra-princeton, Kentucky, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Princeton, KY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-princeton, Kentucky, Llc practices in Princeton, KY. The NPI Number for Nra-princeton, Kentucky, Llc is 1154300564 and holds a License No. 300151 (Kentucky).

The current practice location address for Nra-princeton, Kentucky, Llc is 401 S Jefferson St, Princeton, KY and can be reached out via phone at 270-365-7588 and via fax at 270-365-7586.

Location: 401 S Jefferson St, Princeton, KY, 42445-2113
institution
Provider Profile Details
NPI Number
1154300564
Provider Name
Nra-princeton, Kentucky, Llc
Credential
Provider Entity Type
Organization
Address
401 S Jefferson St, Princeton, KY, 42445-2113
Phone Number
270-365-7588
Fax Number
270-365-7586
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18D1004814 01 KY CLIA CERT OF WAIVER
39000534 05 KY
institution
Provider Business Practice Location Address Details
Address
401 S Jefferson St
City
State
Zip
42445-2113
Phone Number
270-365-7588
Fax Number
270-365-7586
person
Provider Business Mailing Address Details
Address
401 S Jefferson St
City
State
Zip
42445-2113
Phone Number
270-365-7588
Fax Number
270-365-7586
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
300151 (Kentucky)
Definition
Definition to come...
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