Organization
RENPRO VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KELSEY (DIRECTOR OF OPERATIONS)
(765) 418-7403
Entity
Organization
Contact information
Practice address
340 LYNN SHORES DR, VIRGINIA BEACH, VA 23452-2416
(847) 443-2000
Mailing address
7444 W WILSON AVE, HARWOOD HEIGHTS, IL 60706-4500
(847) 443-2000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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