Kidney Replacement Therapies, Sc in Kenosha - End-stage Renal Disease (esrd) Treatment
Kidney Replacement Therapies, Sc - NPI 1720283302
Kidney Replacement Therapies, Sc is a End-stage Renal Disease (esrd) Treatment in Kenosha, Wisconsin. Kidney Replacement Therapies, Sc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Replacement Therapies, Sc is 1720283302. The last update date is 2014-12-19.
Kidney Replacement Therapies, Sc's current location address is 6125 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2625648636 and fax number 2625648637. The mailing address for Kidney Replacement Therapies, Sc is 6125 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Replacement Therapies, Sc |
|---|---|
| Address | 6125 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2625648636 |
| Fax Number | 2625648637 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Pulla N Ganesh |
| Credentials | MD |
| Telephone Number | 2625648636 |
NPI Number Detail
| NPI Number | 1720283302 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2014-12-19 |
Provider Mailing Address Detail
| Address | 6125 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531422928 |
| Phone Number | 2625648636 |
| Fax Number | 2625648637 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 40695-20 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21279800 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kidney Replacement Therapies, Sc by the Centers for Medicare & Medicaid Services?
The Kidney Replacement Therapies, Sc has been issued the NPI (National Provider Identifier) 1720283302. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kidney Replacement Therapies, Sc located?
The Kidney Replacement Therapies, Sc is located at 6125 Green Bay Rd, Kenosha, WI 531422928.
What is the Kidney Replacement Therapies, Sc's specialty and taxonomy code?
The Kidney Replacement Therapies, Sc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When did Kidney Replacement Therapies, Sc receive its 1720283302 assignment?
The Kidney Replacement Therapies, Sc was assigned its 1720283302 on 2007-06-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kidney Replacement Therapies, Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kidney Replacement Therapies, Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-19.