institution
Nra London Kentucky Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in London, Kentucky
NPI 1376522771

Nra London Kentucky Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in London, KY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra London Kentucky Llc practices in London, KY. The NPI Number for Nra London Kentucky Llc is 1376522771 and holds a License No. 330159 (Kentucky).

The current practice location address for Nra London Kentucky Llc is 775 N Laurel Rd, London, KY and can be reached out via phone at 606-862-8888 and via fax at 606-862-8890.

Location: 775 N Laurel Rd, London, KY, 40741-6025
institution
Provider Profile Details
NPI Number
1376522771
Provider Name
Nra London Kentucky Llc
Credential
Provider Entity Type
Organization
Address
775 N Laurel Rd, London, KY, 40741-6025
Phone Number
606-862-8888
Fax Number
606-862-8890
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39000617 05 KY
18D1010862 01 KY CLIA CERT OF WAIVER
institution
Provider Business Practice Location Address Details
Address
775 N Laurel Rd
City
State
Zip
40741-6025
Phone Number
606-862-8888
Fax Number
606-862-8890
person
Provider Business Mailing Address Details
Address
775 N Laurel Rd
City
State
Zip
40741-6025
Phone Number
606-862-8888
Fax Number
606-862-8890
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
330159 (Kentucky)
Definition
Definition to come...
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