Lewis-Clark Kidney Center LLC

NPI #1457749475 in Lewiston, Idaho

Provider Information

NPI Number
1457749475
Entity Type
Organization
Organization Name
Lewis-Clark Kidney Center LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 29, 2014
Last Updated
Jan 10, 2023

Practice Location

Address
2116 12TH AVE
State
Idaho
ZIP Code
83501-3502
Phone
(208) 743-0662

Authorized Official

Name
SARA ANNE BRADY
Title
CHIEF NURSING OFFICER
Phone
(208) 371-7878

Specialties & Taxonomy Codes

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

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