Organization
MARTIN DIALYSIS LLC
Active
Other names
Owensboro Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3250 KIDRON VALLEY WAY, OWENSBORO, KY 42303-2398
(270) 691-9605
(270) 691-9563
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100369260
—
KY
Enumeration date
09/03/2013
Last updated
06/04/2025
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