At Home Dialysis Corp

NPI #1164801981 in Owenton, Kentucky

Provider Information

NPI Number
1164801981
Entity Type
Organization
Organization Name
At Home Dialysis Corp
Primary Specialty
Clinic/Center
Enumeration Date
May 26, 2015
Last Updated
Jun 29, 2015

Practice Location

Address
330 ROLAND AVE
ZIP Code
40359-1502
Phone
(859) 757-4353

Authorized Official

Name
DR. DEEPAK MITTAL, MD
Title
MD
Phone
(859) 757-4353

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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