Organization Name: | KIDNEY KARE OUTPATIENT SERVICES |
NPI Number: | 1700027604 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY LINDGREN (ADMINISTRATOR) |
Mailing Address: | 326 E Dania Beach Blvd Dania Beach |
State: | FL US |
Postal Code: | 330043028 |
Phone Number: | 9547647695 |
Fax Number: | 9547647697 |
NPI Enumeration Date: | 03/23/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |