# COLLABORATIVE KIDNEY CARE LLC

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

## Provider details

- **NPI number:** 1982212981
- **Authorized official:** KAITLYN ELIZABETH EGGE (CEO)
- **Authorized official phone:** (508) 857-9165

## Contact information

- **Practice address:** 76 ROBINSON RD, ACUSHNET, MA 02743-1109
- **Practice address phone:** (774) 263-3523
- **Mailing address:** 76 ROBINSON RD, ACUSHNET, MA 02743-1109
- **Mailing address phone:** (508) 857-9165
- **Mailing address fax:** (866) 422-6439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | — | Yes |
| 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