Organization
WA-SPOK KIDNEY CARE LLC
Active
Parent organization
WA SPOK KIDNEY CARE LLC
Other names
KIDNEY CARE SPOKANE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WA SPOK KIDNEY CARE LLC
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
801 WEST FIFTH AVE, SUITE 509, SPOKANE, WA 99204-2841
(509) 473-3796
(509) 473-3793
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOF, TN 37027-2851
(800) 703-7345
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241851
DEPT OF L&I
WA
05
—
7144520
—
WA
Enumeration date
09/19/2008
Last updated
08/12/2009
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