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Organization

KIDNEY LIFE, LLC

Active
Other names
Hamilton Street Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 320-4414
Entity
Organization

Contact information

Practice address
920 HAMILTON ST, STE C-3, SOMERSET, NJ 08873-3600
(732) 220-1593
(732) 448-0567
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259

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
0964697
NJ
Enumeration date
03/05/2017
Last updated
03/11/2025
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