| Organization Name: | PUGET SOUND KIDNEY CENTERS |
| NPI Number: | 1073939062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD S KELLY (PRESIDENT AND CEO) |
| Mailing Address: | 809 31st St Anacortes |
| State: | WA US |
| Postal Code: | 98221 |
| Phone Number: | 3607553586 |
| Fax Number: | 3609822693 |
| NPI Enumeration Date: | 03/14/2014 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 600401431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |