Kidney Life, Inc. in St Petersburg - End-stage Renal Disease (esrd) Treatment
Kidney Life, Inc. - NPI 1689715112
Kidney Life, Inc. is a End-stage Renal Disease (esrd) Treatment in St Petersburg, Florida. Kidney Life, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Life, Inc. is 1689715112. The last update date is 2016-02-15.
Kidney Life, Inc.'s current location address is Po Box 47069, St Petersburg, Florida. You can contact this provider via phone number 7278965500 and fax number 7278985317. The mailing address for Kidney Life, Inc. is Po Box 47069, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Life, Inc. |
|---|---|
| Address | Po Box 47069, St Petersburg, Florida |
| Phone Number | 7278965500 |
| Fax Number | 7278985317 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | Malti S Jossette |
| Credentials | RN |
| Telephone Number | 7278965500 |
NPI Number Detail
| NPI Number | 1689715112 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2016-02-15 |
Provider Mailing Address Detail
| Address | Po Box 47069 |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337437069 |
| Phone Number | 7278965500 |
| Fax Number | 7278985317 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208942400 | FL | -- |
Post Comment/ Review Below
What is the Kidney Life, Inc.'s 1689715112?
The Kidney Life, Inc.'s NPI (National Provider Identifier) Number is 1689715112. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kidney Life, Inc.'s physical address?
The Kidney Life, Inc. is physically located at Po Box 47069, in the city of St Petersburg, FL, with the postal code 337437069.
What is Kidney Life, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kidney Life, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Kidney Life, Inc. receive the assignment of its 1689715112 from the Centers for Medicare & Medicaid Services?
The Kidney Life, Inc. was issued its 1689715112 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the details pertaining to Kidney Life, Inc. last refreshed?
The information related to the Kidney Life, Inc., including its address, specialty, and other relevant details, was last updated on 2016-02-15.
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