Nra-Princeton, Kentucky, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Princeton, KY. Organization (NPI-2).
NPI number1154300564
StatusActive
Last updated in NPPESAug 6, 2021
Details
- NPI
- 1154300564
- Entity type
- Organization (NPI-2)
- Legal business name
- Nra-Princeton, Kentucky, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 13, 2006
- Certification date
- Aug 6, 2021
- Last updated
- Aug 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 300151 | KY | Yes |
Other names
- Caldwell County Dialysis Clinic (Doing Business As)
Practice location
401 S Jefferson StPrinceton, KY 42445-2113
Phone 270-365-7588 · Fax 270-365-7586
Mailing address
401 S Jefferson StPrinceton, KY 42445-2113
Phone 270-365-7588 · Fax 270-365-7586
Authorized official
Barry L. Blanton
Vice President
7816999000
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