Organization
KIDNEY CENTER OF LAKEWOOD LLC
Active
Other names
Kidney Center of Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
6166 W ALAMEDA AVE, LAKEWOOD, CO 80226-3539
(303) 922-6371
(303) 922-6372
Mailing address
6166 W ALAMEDA AVE, LAKEWOOD, CO 80226-3539
(303) 922-6371
(303) 922-6372
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
05
—
91603757
—
CO
Enumeration date
10/23/2007
Last updated
01/10/2023
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