Organization
TOTAL RENAL CARE INC
Active
Other names
Eastern Kentucky Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
167 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3204
(606) 432-4477
(606) 432-4201
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
300117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000732
—
KY
Enumeration date
03/28/2006
Last updated
12/18/2024
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