Organization
KIDNEY CARE SERVICES OF DUBOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J SPENCER R.N. (MANAGING EMPLOYEE)
(814) 590-9618
Entity
Organization
Contact information
Practice address
635 MAPLE AVE, BOX D, DU BOIS, PA 15801-2376
(814) 375-4321
(814) 375-6157
Mailing address
635 MAPLE AVE, BOX D, DU BOIS, PA 15801-2376
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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