Organization
DSI RENAL INC
Active
Other names
DSI Lees Summit Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN K BARR (VP OF REIMBURSEMENT)
(615) 467-0134
Entity
Organization
Contact information
Practice address
100 NE MISSOURI ROAD, LEES SUMMIT, MO 64086
(816) 524-3312
Mailing address
511 UNION ST, SUITE 1800, NASHVILLE, TN 37219-1733
(615) 467-0134
(615) 234-2422
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91284051
BCBS KANSAS CITY
MO
Enumeration date
06/08/2006
Last updated
09/21/2007
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