Kerricher Dialysis, LLC
NPI #1184024770 in Fort Worth, Texas
Provider Information
- NPI Number
- 1184024770
- Entity Type
- Organization
- Organization Name
- Kerricher Dialysis, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 2, 2014
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 2400 LANDS END BLVD
- Address 2
- STE 131
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76116-2170
- Phone
- (817) 570-0916
Authorized Official
- Name
- JOHN WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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