KERRICHER DIALYSIS LLC NPI 1184024770

NPI Information

KERRICHER DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Worth, TX. KERRICHER DIALYSIS, LLC NPI is 1184024770. The provider is registered as an organization entity type.
The provider Is Doing Business As Cowtown West Dialysis.

The provider's business location address is:

2400 LANDS END BLVD
STE 131
FORT WORTH, TX
ZIP 76116-170
Phone: (817) 570-0916
Fax: (817) 377-0279

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D2087001 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 4/30/2020.

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:

Other Identifiers

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