Organization
DIALYSIS CLINIC INC.
Active
Other names
CENTRAL KENTUCKY NEPHROLOGY AND HYPERTENSION
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1451 HARRODSBURG RD, SUITE D-304, LEXINGTON, KY 40504-3758
(859) 977-4000
(859) 977-5100
Mailing address
1451 HARRODSBURG RD, SUITE D-304, LEXINGTON, KY 40504-3758
(859) 977-4000
(859) 977-5100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
36247
KY
207RN0300X
Nephrology Physician
Primary
37363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64038698
—
KY
05
—
64056732
—
KY
Enumeration date
10/12/2007
Last updated
10/05/2023
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