PURE LIFE RENAL OF OVERLAND PARK LLC NPI 1083248181

NPI Information

PURE LIFE RENAL OF OVERLAND PARK, LLC is an end-stage renal disease (esrd) treatment clinic center in Overland Park, KS. PURE LIFE RENAL OF OVERLAND PARK, LLC NPI is 1083248181. The provider is registered as an organization entity type.

The provider's business location address is:

11661 COLLEGE BLVD STE 106
OVERLAND PARK, KS
ZIP 66210-107
Phone: (954) 962-5733

The provider's authorized official is Jeff Fernandez .
The authorized official title is Cfo and has the following contact phone number (954) 962-5733.

The enumeration date for this NPI number is 2/27/2020 and was last updated on 2/27/2020.

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:

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