OrganizationActive
Dva Renal Healthcare Inc
NPI 1013970110 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Southgate, KY
Provider details
- NPI number
- 1013970110
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Authorized Official
- License
- 300121 (KY)
Practice location
525 Alexandria Pike
Ste 120
Southgate, KY 41071-3243
Phone: (859) 442-5539
Fax: (859) 442-5587
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2023-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.