# KEYSTONE KIDNEY ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1053417402
- **Authorized official:** MRS. PATRICIA SABLESAK (CLINICAL DIRECTOR)
- **Authorized official phone:** (847) 544-5880

## Contact information

- **Practice address:** 359 NINA WAY, WARMINSTER, PA 18974-2826
- **Practice address phone:** (847) 544-5880
- **Practice address fax:** (512) 872-5105
- **Mailing address:** 1990 STEAM WAY STE A102, ROUND ROCK, TX 78665-2233
- **Mailing address phone:** (847) 544-5880
- **Mailing address fax:** (512) 872-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 05/15/2025