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Organization

ISD RENAL INC

Active
Other names
Cross Keys Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization

Contact information

Practice address
14001 NEW HALLS FERRY RD STE 133, FLORISSANT, MO 63033-2708
(314) 839-7416
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
05/24/2017
Last updated
05/24/2017
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