Organization
KEYSTONE KIDNEY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA SABLESAK (CLINICAL DIRECTOR)
(847) 544-5880
Entity
Organization
Contact information
Practice address
359 NINA WAY, WARMINSTER, PA 18974-2826
(847) 544-5880
(512) 872-5105
Mailing address
1990 STEAM WAY STE A102, ROUND ROCK, TX 78665-2233
(847) 544-5880
(512) 872-5105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/15/2006
Last updated
05/15/2025
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