institution
Kingston Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Longmont, Colorado
NPI 1740657402

Kingston Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kingston Dialysis Llc practices in Longmont, CO. The NPI Number for Kingston Dialysis Llc is 1740657402 and holds a License No. (Colorado).

The current practice location address for Kingston Dialysis Llc is 1715 Iron Horse Dr Ste 170, Longmont, CO and can be reached out via phone at 303-485-4084 and via fax at 303-485-4081. You can also correspond with Kingston Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6264).

Location: 1715 Iron Horse Dr Ste 170, Longmont, CO, 37027-7569
institution
Provider Profile Details
NPI Number
1740657402
Provider Name
Kingston Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1715 Iron Horse Dr Ste 170, Longmont, CO, 37027-7569
Phone Number
303-485-4084
Fax Number
303-485-4081
Provider Enumeration Date
08/28/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
11485884 05 CO
1203KY 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1715 Iron Horse Dr Ste 170
City
State
Zip
80501-9617
Phone Number
303-485-4084
Fax Number
303-485-4081
person
Provider Business Mailing Address Details
Address
1715 Iron Horse Dr Ste 170
City
State
Zip
80501-9617
Phone Number
303-485-4084
Fax Number
303-485-4081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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