Organization
UNIVERSITY KIDNEY CENTER BROADWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
2821 WEST BROADWAY, LOUISVILLE, KY 40211-1218
(502) 774-8516
(502) 774-8518
Mailing address
2821 WEST BROADWAY, LOUISVILLE, KY 40211-1218
(502) 774-8516
(502) 774-8518
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
01/11/2023
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