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Kentwood Home Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentwood, Louisiana
NPI 1306240684

Kentwood Home Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Kentwood, LA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kentwood Home Dialysis practices in Kentwood, LA. The NPI Number for Kentwood Home Dialysis is 1306240684 and holds a License No. 202586 (Louisiana).

The current practice location address for Kentwood Home Dialysis is 800 3Rd St, Kentwood, LA and can be reached out via phone at 601-833-4111.

Location: 800 3Rd St, Kentwood, LA, 70444-2746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306240684
Provider Name
Kentwood Home Dialysis
Credential
Provider Entity Type
Organization
Address
800 3Rd St, Kentwood, LA, 70444-2746
Phone Number
601-833-4111
Fax Number
Provider Enumeration Date
10/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 3Rd St
City
Kentwood
State
Louisiana
Zip
70444-2746
Phone Number
601-833-4111
Fax Number
person
Provider Business Mailing Address Details
Address
800 3Rd St
City
Kentwood
State
Louisiana
Zip
70444-2746
Phone Number
601-833-4111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
202586 (Louisiana)
Definition
Definition to come...
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