Dva Renal Healthcare INC

NPI #1013970110 in Southgate, Kentucky

Provider Information

NPI Number
1013970110
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 10, 2006
Last Updated
Oct 27, 2023

Practice Location

Address
525 ALEXANDRIA PIKE
Address 2
STE 120
ZIP Code
41071-3243
Phone
(859) 442-5539

Authorized Official

Name
SAMUEL T WEY
Title
AUTHORIZED OFFICIAL
Phone
(253) 733-4501

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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