Organization
CENTRAL KENTUCKY DIALYSIS CENTERS LLC
Active
Other names
Dialysis of Central Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2807 RING RD, ELIZABETHTOWN, KY 42701-9114
(270) 735-1883
(270) 360-8982
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1791636
—
LA
05
—
7100011990
—
KY
Enumeration date
03/27/2006
Last updated
11/13/2025
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