KENTUCKY RENAL CARE GROUP LLC NPI 1619089430

NPI Information

KENTUCKY RENAL CARE GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Lexington, KY. KENTUCKY RENAL CARE GROUP, LLC NPI is 1619089430. The provider is registered as an organization entity type.
The provider Is Doing Business As Kentucky Renal Care Group - Lexington North.

The provider's business location address is:

1610 LEESTOWN RD STE 180
LEXINGTON, KY
ZIP 40511-142
Phone: (859) 254-0671
Fax: (859) 254-1759

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 18D1012151 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/23/2021.

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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