Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Lenexa Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8630 HALSEY ST, LENEXA, KS 66215-2880
(913) 894-1100
(913) 894-6915
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
—
100213850M
—
KS
05
—
507480101
—
MO
Enumeration date
03/21/2006
Last updated
07/22/2025
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