Organization
DIALYSIS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3064
Entity
Organization
Contact information
Practice address
204 S 2ND ST, DANVILLE, KY 40422-1804
(859) 236-6300
(859) 236-6308
Mailing address
204 S 2ND ST, DANVILLE, KY 40422-1804
(859) 236-6300
(859) 236-6308
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
07/28/2006
Last updated
10/04/2023
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