Lewis Clark Kidney Center LLC

NPI #1437573995 in Lewiston, Idaho

Provider Information

NPI Number
1437573995
Entity Type
Organization
Organization Name
Lewis Clark Kidney Center LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 4, 2014
Last Updated
Feb 4, 2014

Practice Location

Address
222 SOUTHWAY AVE STE A
State
Idaho
ZIP Code
83501-2703
Phone
(208) 743-9986

Authorized Official

Name
AJITH J KUMAR, M.D.
Title
MEDICAL DIRECTOR
Phone
(208) 743-9986

Specialties & Taxonomy Codes

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

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