Organization
TRISTATE RENAL CARE LLC
Active
Organization
TRISTATE RENAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLE THI TRAN (PRACTICE MANAGER)
(859) 912-7716
Entity
Organization
Contact information
Practice address
6909 BURLINGTON PIKE STE B, FLORENCE, KY 41042-1618
(859) 912-7716
(859) 757-4923
Mailing address
6909 BURLINGTON PIKE STE B, FLORENCE, KY 41042-1618
(859) 912-7716
(859) 757-4923
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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