Organization
KIDNEY CENTER OF DACONO LLC
Active
Other names
KIDNEY CENTER OF FREDERICK
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
5992 IRIS PKWY, FREDERICK, CO 80504-6412
(303) 833-1381
(303) 833-1382
Mailing address
5992 IRIS PKWY, FREDERICK, CO 80504-6412
(303) 833-1381
(303) 833-1382
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
01/10/2023
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