Organization
UNIVERSITY KIDNEY CENTER LLC
Active
Other names
University of Louisville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
614 E CHESTNUT ST, LOUISVILLE, KY 40202-1604
(502) 589-5997
(502) 589-5998
Mailing address
614 E CHESTNUT ST, LOUISVILLE, KY 40202-1604
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100228670
—
KY
Enumeration date
06/13/2012
Last updated
01/13/2023
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