Organization
NORTHWEST KIDNEY CENTERS
Active
Organization
NORTHWEST KIDNEY CENTERS
Active
Parent organization
NORTHWEST KIDNEY CENTERS
Other names
Panther Lake, Panther Lake Kidney Center, Northwest Kidney Centers dba Panther Lake Kidney Center, NKC Panther Lake Kidney Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST KIDNEY CENTERS
Authorized official
JENNIFER ESLAVA (CHIEF FINANCIAL OFFICER)
(206) 292-2771
Entity
Organization
Contact information
Practice address
10821 SE 204TH ST, KENT, WA 98031-5570
(206) 292-2771
Mailing address
12901 20TH AVE S STE 100, SEATAC, WA 98168-5159
(206) 292-2771
(206) 860-5821
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
—
2269021
—
WA
Enumeration date
01/12/2023
Last updated
04/04/2025
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