Organization
RENAL CENTER OF KEYSER, LLC
Active
Other names
Renal Center of Keyser
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1080 NEW CREEK HWY, KEYSER, WV 26726-9508
(304) 788-5057
(304) 788-5059
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
—
3810023151
—
WV
Enumeration date
07/01/2011
Last updated
09/04/2024
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