institution
Branson Kidney Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Branson West, Missouri
NPI 1285109041

Branson Kidney Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Branson West, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Branson Kidney Center Llc practices in Branson West, MO. The NPI Number for Branson Kidney Center Llc is 1285109041 and holds a License No. (Missouri).

The current practice location address for Branson Kidney Center Llc is 17829 Bus 13, Branson West, MO and can be reached out via phone at 417-334-8288 and via fax at 417-334-6966.

Location: 17829 Bus 13, Branson West, MO, 65737-2062
institution
Provider Profile Details
NPI Number
1285109041
Provider Name
Branson Kidney Center Llc
Credential
Provider Entity Type
Organization
Address
17829 Bus 13, Branson West, MO, 65737-2062
Phone Number
417-334-8288
Fax Number
417-334-6966
Provider Enumeration Date
10/09/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
26D2157464 01 CLIA CERTIFICATE
1285109041 05 MO
236152134 05 AR
institution
Provider Business Practice Location Address Details
Address
17829 Bus 13
City
State
Zip
65737-9664
Phone Number
417-334-8288
Fax Number
417-334-6966
person
Provider Business Mailing Address Details
Address
17829 Bus 13
City
State
Zip
65737-9664
Phone Number
417-334-8288
Fax Number
417-334-6966
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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