Organization
CENTRAL KENTUCKY KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN GENEIDY (OWNER)
(859) 236-6300
Entity
Organization
Contact information
Practice address
150 WAR ADMIRAL STE 4, DANVILLE, KY 40422-8690
(859) 236-6300
Mailing address
150 WAR ADMIRAL STE 4, DANVILLE, KY 40422-8690
(859) 236-6300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/03/2024
Last updated
09/27/2024
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