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Puget Sound Kidney Centers

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Lakewood, WA. Organization (NPI-2).

NPI number1013572064
StatusActive
Last updated in NPPESMay 6, 2019

Details

NPI
1013572064
Entity type
Organization (NPI-2)
Legal business name
Puget Sound Kidney Centers
Organization subpart
No
Enumeration date
May 6, 2019
Last updated
May 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Practice location

11950 47th Ave Sw
Lakewood, WA 98499

Phone 425-259-5195 · Fax 425-258-9610

Mailing address

1019 Pacific Ave
Everett, WA 98201-4148

Phone 425-259-5195 · Fax 425-258-9610

Authorized official

Ken Kouchi
Chief Financial Officer
4252595195

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