Organization
PINEWOODS DIALYSIS LLC
Active
Other names
Overland Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
12201 W 110TH ST, OVERLAND PARK, KS 66210-4045
(913) 451-5984
(913) 327-5401
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
—
30004611340001
—
KS
Enumeration date
12/11/2017
Last updated
01/26/2026
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