Organization
KERSHAW DIALYSIS LLC
Active
Other names
Oakland Broadway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4242 BROADWAY, OAKLAND, CA 94611-5130
(510) 654-4645
(510) 547-1548
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6793
(877) 790-2174
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
06/11/2021
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