Organization
DIALYSIS SERVICES OF LONDON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
306 SOUTH PLZ, LONDON, KY 40741-2645
(606) 862-0110
(606) 862-0210
Mailing address
306 SOUTH PLZ, LONDON, KY 40741-2645
(606) 862-0110
(606) 862-0210
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
—
7100264080
—
KY
Enumeration date
10/05/2012
Last updated
01/10/2023
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