Liberty Dialysis - Kokomo LLC

NPI #1407052137 in Kokomo, Indiana

Provider Information

NPI Number
1407052137
Entity Type
Organization
Organization Name
Liberty Dialysis - Kokomo LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 21, 2007
Last Updated
Mar 31, 2016

Practice Location

Address
3760 S REED RD
City
Kokomo
State
Indiana
ZIP Code
46902-3829
Phone
(765) 864-1669

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED OFFICIAL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

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

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