Organization
KENTUCKY NEPHROLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIGRUN LEONHARDT PHD (PRESIDENT)
(859) 879-2113
Entity
Organization
Contact information
Practice address
703 E MAIN ST, SUITE #2, LEBANON, KY 40033-8695
(859) 879-2113
Mailing address
PO BOX 910341, LEXINGTON, KY 40591-0341
(859) 879-2113
(859) 873-1367
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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