institution
Nra-georgetown, Kentucky, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgetown, Kentucky
NPI 1588878490

Nra-georgetown, Kentucky, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Georgetown, KY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-georgetown, Kentucky, Llc practices in Georgetown, KY. The NPI Number for Nra-georgetown, Kentucky, Llc is 1588878490 and holds a License No. 300193 (Kentucky).

The current practice location address for Nra-georgetown, Kentucky, Llc is 98 Mary Lynn Dr, Georgetown, KY and can be reached out via phone at 502-867-3855 and via fax at 502-867-4899.

Location: 98 Mary Lynn Dr, Georgetown, KY, 40324-8520
institution
Provider Profile Details
NPI Number
1588878490
Provider Name
Nra-georgetown, Kentucky, Llc
Credential
Provider Entity Type
Organization
Address
98 Mary Lynn Dr, Georgetown, KY, 40324-8520
Phone Number
502-867-3855
Fax Number
502-867-4899
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18D1071520 01 KY CLIA CERT OF WAIVER
PENDING 05 KY
institution
Provider Business Practice Location Address Details
Address
98 Mary Lynn Dr
City
State
Zip
40324-8520
Phone Number
502-867-3855
Fax Number
502-867-4899
person
Provider Business Mailing Address Details
Address
98 Mary Lynn Dr
City
State
Zip
40324-8520
Phone Number
502-867-3855
Fax Number
502-867-4899
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
300193 (Kentucky)
Definition
Definition to come...
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