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KENAI DIALYSIS LLC NPI 1013271410


NPI Information

NPI: 1013271410
Provider Name: KENAI DIALYSIS LLC

Doing Business As: NALL DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 17D2045863

Address:
10787 NALL AVE
STE 130
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 649-2671
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KENAI DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Overland Park, KS. KENAI DIALYSIS LLC NPI is 1013271410. The provider is registered as an organization entity type.
The provider Is Doing Business As Nall Dialysis.

The provider's business location address is:

10787 NALL AVE
STE 130
OVERLAND PARK, KS
ZIP 66211-375
Phone: (913) 649-2671
Fax: (913) 649-2869

The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 17D2045863 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 10/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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