Heartland Kidney and Dialysis Center

NPI #1407193063 in Neosho, Missouri

Provider Information

NPI Number: 1407193063
Entity Type: Organization
Organization Name: Heartland Kidney and Dialysis Center
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jan 15, 2013
Last Updated: Jul 5, 2013

Practice Location

Address: 833 N BUS 49
City: Neosho
State: Missouri
ZIP Code: 64850-6898
Phone: (417) 455-9255

Authorized Official

Name: LESLIE M HAMLETT, D.O.
Title: PRESIDENT
Phone: (417) 455-9255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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