| Kidney Care Of Kendall Dialysis Center Inc. | |
|
13501 S.w. 136th Street 210 Miami FL 33186 | |
| (305) 318-3169 | |
| (305) 623-7880 |
| Full Name | Kidney Care Of Kendall Dialysis Center Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 13501 S.w. 136th Street, Miami, Florida |
| Authorized Official Name and Position | Freddie Misenas (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 3053183169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Care Of Kendall Dialysis Center Inc. 13501 S.w. 136th Street 210 Miami FL 33186 Ph: (305) 318-3169 | Kidney Care Of Kendall Dialysis Center Inc. 13501 S.w. 136th Street 210 Miami FL 33186 Ph: (305) 318-3169 |
| NPI Number | 1255833844 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255833844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Secondary |
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