Organization
DCA OF KILMARNOCK, LLC
Active
Parent organization
DIALYSIS CORPORATION OF AMERICA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIALYSIS CORPORATION OF AMERICA, INC.
Authorized official
MR. STEPHEN EVERETT (CEO)
(410) 694-0500
Entity
Organization
Contact information
Practice address
77 IRVINGTON RD, KILMARNOCK, VA 22482-3826
(804) 435-0888
(804) 435-0995
Mailing address
214 SENATE AVENUE, SUITE 300, CAMP HILL, PA 17011-2339
(717) 730-9701
(717) 730-6223
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
01
—
210370
ANTHEM BCBS
VA
Enumeration date
04/07/2006
Last updated
06/21/2018
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