Organization
ONE DIALYSIS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSIE MCKINNEY (DIRECTOR OF OPERATIONS)
(314) 315-1732
Entity
Organization
Contact information
Practice address
300 25TH ST APT 312, VIRGINIA BEACH, VA 23451-3496
(314) 315-1732
Mailing address
300 25TH ST APT 312, VIRGINIA BEACH, VA 23451-3496
(314) 315-1732
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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