Organization
KIOWA DIALYSIS LLC
Active
Other names
Baldwin Park 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
14101 FRANCISQUITO AVE, BALDWIN PARK, CA 91706-6100
(626) 337-1847
(626) 337-0129
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
Enumeration date
11/03/2016
Last updated
07/02/2025
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