KIDNEY HOME CENTER LLC NPI 1346621554

NPI Information

KIDNEY HOME CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. KIDNEY HOME CENTER, LLC NPI is 1346621554. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Home Downtown.

The provider's business location address is:

200 SAINT PAUL ST STE 5
BALTIMORE, MD
ZIP 21202-025
Phone: (410) 244-5638
Fax: (410) 244-6405

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 11/1/2023.

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:

Other Identifiers

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