Organization
AFFILIATED HOSPITALS DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LYNN KNARR R.N. (EXECUTIVE VICE PRESIDENT)
(314) 434-4770
Entity
Organization
Contact information
Practice address
1009 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6324
(314) 434-4770
(314) 434-1908
Mailing address
1009 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6324
(314) 434-4770
(314) 434-1908
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2005
Last updated
08/22/2020
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