ISD RENAL INC NPI 1770539108

NPI Information

NPI: 1770539108
Provider Name: ISD RENAL INC

Doing Business As: KANSAS CITY RENAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4333 MADISON AVE
STE 100
KANSAS CITY, MO
ZIP 64111
Phone: (816) 756-0645
Get Directions

ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Kansas City, MO. ISD RENAL INC NPI is 1770539108. The provider is registered as an organization entity type.
The provider Is Doing Business As Kansas City Renal Center.

The provider's business location address is:

4333 MADISON AVE
STE 100
KANSAS CITY, MO
ZIP 64111-434
Phone: (816) 756-0645
Fax: (816) 756-1726

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

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/10/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200548640D	MEDICAID	KANSAS
2	1770539108	MEDICAID	IOWA
3	503855900	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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