institution
Kenosha Kidney Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kenosha, Wisconsin
NPI 1730219924

Kenosha Kidney Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Kenosha, WI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kenosha Kidney Dialysis Llc practices in Kenosha, WI. The NPI Number for Kenosha Kidney Dialysis Llc is 1730219924 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Kidney Dialysis Llc is 6125 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-652-1776 and via fax at 262-652-2702. You can also correspond with Kenosha Kidney Dialysis Llc through the mailing address at 6125 GREEN BAY RD, KENOSHA, WI - 53142-2942 (mailing address contact number: 262-652-1776).

Location: 6125 Green Bay Rd, Kenosha, WI, 53142-2942
institution
Provider Profile Details
NPI Number
1730219924
Provider Name
Kenosha Kidney Dialysis Llc
Credential
Provider Entity Type
Organization
Address
6125 Green Bay Rd, Kenosha, WI, 53142-2942
Phone Number
262-652-1776
Fax Number
262-652-2702
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42064600 05 WI
institution
Provider Business Practice Location Address Details
Address
6125 Green Bay Rd
City
State
Zip
53142-2942
Phone Number
262-652-1776
Fax Number
262-652-2702
person
Provider Business Mailing Address Details
Address
6125 Green Bay Rd
City
State
Zip
53142-2942
Phone Number
262-652-1776
Fax Number
262-652-2702
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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