Organization
TOTAL RENAL CARE INC
Active
Other names
Kenton 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
1207 E COLUMBUS ST KENTON RIDGE CTR, KENTON, OH 43326-1760
(419) 675-4075
(419) 675-1108
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
1062DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101671
—
OH
Enumeration date
01/30/2013
Last updated
09/22/2025
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