CENTRAL KENTUCKY DIALYSIS CENTERS LLC NPI 1982664306

NPI Information

NPI: 1982664306
Provider Name: CENTRAL KENTUCKY DIALYSIS CENTERS LLC

Doing Business As: BARDSTOWN DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
210 W JOHN FITCH AVE
BARDSTOWN, KY
ZIP 40004
Phone: (502) 350-1130
Get Directions

CENTRAL KENTUCKY DIALYSIS CENTERS LLC is an end-stage renal disease (esrd) treatment clinic center in Bardstown, KY. CENTRAL KENTUCKY DIALYSIS CENTERS LLC NPI is 1982664306. The provider is registered as an organization entity type.
The provider Is Doing Business As Bardstown Dialysis Center.

The provider's business location address is:

210 W JOHN FITCH AVE
BARDSTOWN, KY
ZIP 40004-115
Phone: (502) 350-1130
Fax: (502) 350-1125

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 3/28/2006 and was last updated on 8/17/2023.

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	300161	KENTUCKY	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	Other Provider Identifier Issuer
1	7100001410	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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