Organization
TOTAL RENAL CARE INC
Active
Other names
Kentucky Wildcat Specialty 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
2130 NICHOLASVILLE RD STE 5, LEXINGTON, KY 40503-2520
(859) 277-9911
(859) 277-8450
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, 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
—
300252
—
KY
Enumeration date
07/03/2013
Last updated
05/14/2025
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