Puget Sound Kidney Centers
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Bremerton, WA. Organization (NPI-2).
NPI number1760145189
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1760145189
- Entity type
- Organization (NPI-2)
- Legal business name
- Puget Sound Kidney Centers
- Organization subpart
- No
- Enumeration date
- Oct 21, 2021
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Puget Sound Kidney Center-Bremerton (Cogen) (Doing Business As)
Practice location
2613 Wheaton WayBremerton, WA 98310-3373
Phone 360-479-5908 · Fax 360-479-5787
Mailing address
1019 Pacific AveEverett, WA 98201-4148
Phone 425-259-1884 · Fax 425-258-9610
Authorized official
Harold Kelly
President & Ceo
4252595195
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