Organization
PUGET SOUND KIDNEY CENTERS
Active
Other names
PSKC - WHIDBEY ISLAND
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD S KELLY (PRESIDENT & CEO)
(425) 259-5195
Entity
Organization
Contact information
Practice address
430 SE MIDWAY BLVD, OAK HARBOR, WA 98277-5017
(360) 679-6706
(360) 679-6957
Mailing address
1005 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-5195
(425) 259-4890
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144805
—
WA
Enumeration date
03/29/2007
Last updated
02/05/2008
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