THE KIDNEY CENTER OF SOUTH PHILADELPHIA LLC NPI 1982095626

NPI Information

THE KIDNEY CENTER OF SOUTH PHILADELPHIA LLC is an end-stage renal disease (esrd) treatment clinic center in Philadelphia, PA. THE KIDNEY CENTER OF SOUTH PHILADELPHIA LLC NPI is 1982095626. The provider is registered as an organization entity type.

The provider's business location address is:

1930 S BROAD ST
UNIT 7
PHILADELPHIA, PA
ZIP 19145-328
Phone: (215) 463-3120
Fax: (215) 463-3107

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The enumeration date for this NPI number is 2/17/2015 and was last updated on 3/17/2020.

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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