Alexandria Dialysis LLC

NPI #1801211909 in Shawnee, Oklahoma

Provider Information

NPI Number: 1801211909
Entity Type: Organization
Organization Name: Alexandria Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 26, 2014
Last Updated: May 18, 2022

Practice Location

Address: 2810 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1798
Phone: (405) 273-1599

Authorized Official

Name: JOHN WINSTEL
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4501

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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