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Organization
COLLABORATIVE KIDNEY CARE LLC
Active
Organization
COLLABORATIVE KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN ELIZABETH EGGE (CEO)
(508) 857-9165
Entity
Organization
Contact information
Practice address
76 ROBINSON RD, ACUSHNET, MA 02743-1109
(774) 263-3523
Mailing address
76 ROBINSON RD, ACUSHNET, MA 02743-1109
(508) 857-9165
(866) 422-6439
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
NULL
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
251K00000X
Public Health or Welfare Agency
—
NULL
Other
Enumeration date
07/16/2020
Last updated
10/03/2026
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