CENTRAL KENTUCKY DIALYSIS CENTERS LLC NPI 1861452302

NPI Information

  • NPI: 1861452302
  • Provider Name: CENTRAL KENTUCKY DIALYSIS CENTERS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: DIALYSIS OF CENTRAL KENTUCKY
  • CLIA Number: 18D0326976
  • Address: 2807 RING RD
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 735-1883

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NPI Details

CENTRAL KENTUCKY DIALYSIS CENTERS LLC is an end-stage renal disease (esrd) treatment clinic center in Elizabethtown, KY. CENTRAL KENTUCKY DIALYSIS CENTERS LLC NPI is 1861452302. The provider is registered as an organization entity type.
The provider Is Doing Business As Dialysis Of Central Kentucky.

The provider's business location address is:

2807 RING RD
ELIZABETHTOWN, KY
ZIP 42701-114
Phone: (270) 735-1883
Fax: (270) 360-8982

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 CLIA number assigned to this NPI record is 18D0326976 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 2/28/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment300031KENTUCKYYes

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 Other Provider Identifier Issuer
17100011990MEDICAIDKENTUCKY
21791636MEDICAIDLOUISIANA

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: 3/30/2025

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