Organization
DIALYSIS SPECIALISTS OF BARBOURVILLE, INC.
Active
Other names
DIALYSIS SPECIALISTS OF BARBOURVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
1957 S. US HIGHWAY 25 E. STE A, BARBOURVILLE, KY 40906
(606) 545-7406
Mailing address
1957 S. US HIGHWAY 25 E. STE A, BARBOURVILLE, KY 40906
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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