Organization
PUGET SOUND KIDNEY CENTERS
Active
Other names
Puget Sound Kidney Center-Poulsbo
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD KELLY (PRESIDENT & CEO)
(425) 259-5195
Entity
Organization
Contact information
Practice address
19472 POWDER HILL PL NE STE 100, POULSBO, WA 98370-7473
(360) 598-9712
(360) 930-0703
Mailing address
1019 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-1884
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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