WYOMING KIDNEY CENTER LLC NPI 1508837865

NPI Information

WYOMING KIDNEY CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Casper, WY. WYOMING KIDNEY CENTER, LLC NPI is 1508837865. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Wyoming Dialysis.

The provider's business location address is:

1141 WILKINS CIR
CASPER, WY
ZIP 82601-332
Phone: (307) 472-3700
Fax: (307) 472-3306

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 53D0956671 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 10/28/2013.

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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