Organization
DVA RENAL HEALTHCARE INC
Active
Other names
K Street 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
2131 K ST NW, STE 300, WASHINGTON, DC 20037-1898
(202) 223-8453
(202) 223-9789
Mailing address
5200 VIRGINIA WAY, L & C DEPT, 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
—
004925181
—
VA
05
—
033153500
—
DC
05
—
337801200
—
MD
Enumeration date
02/27/2006
Last updated
01/06/2026
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