Organization
CENTRAL KENTUCKY DIALYSIS CENTERS LLC
Active
Other names
Bardstown Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
210 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 350-1130
(502) 350-1125
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
300161
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100001410
—
KY
Enumeration date
03/28/2006
Last updated
06/12/2024
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