Olympic Peninsula Kidney Center

NPI #1386694099 in Port Orchard, Washington

Provider Information

NPI Number
1386694099
Entity Type
Organization
Organization Name
Olympic Peninsula Kidney Center
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 11, 2006
Last Updated
Dec 15, 2009

Practice Location

Address
450 S KITSAP BLVD
Address 2
SUITE 178
ZIP Code
98366-3773
Phone
(360) 895-7795

Authorized Official

Name
KATRINA ARDEL RUSSELL, RN, CNN
Title
ADMINISTRATOR
Phone
(206) 915-9502

Specialties & Taxonomy Codes

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

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