# FREDERICK KIDNEY CARE ASSOCIATES LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033305263
- **Authorized official:** DR. ROHAN R RENGEN M.D. (PARTNER)
- **Authorized official phone:** (301) 696-0012

## Contact information

- **Practice address:** 5205 CHAIRMANS CT, SUITE 100, FREDERICK, MD 21703-2915
- **Practice address phone:** (301) 696-0012
- **Mailing address:** 5205 CHAIRMANS CT, SUITE 100, FREDERICK, MD 21703-2915
- **Mailing address phone:** (301) 696-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | W12133963 | MD | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 06/13/2016