Organization
MIDWEST KIDNEY CARE, LLC
Active
Organization
MIDWEST KIDNEY CARE, LLC
Active
Other names
Midwest Kidney Care-Kenosha Branch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KURZ (V.P. OPERATIONS)
(414) 762-2020
Entity
Organization
Contact information
Practice address
6804 GREEN BAY RD, SUITE 108, KENOSHA, WI 53142-1452
(262) 697-6323
(262) 397-6308
Mailing address
335 MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
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
—
42061600
—
WI
Enumeration date
07/08/2006
Last updated
10/27/2011
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