OrganizationActive
Pure Life Renal of Overland Park, LLC
NPI 1083248181 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Overland Park, KS
Provider details
- NPI number
- 1083248181
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Fernandez, Cfo(954) 962-5733
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11661 College Blvd Ste 106
Overland Park, KS 66210-4107
Phone: (954) 962-5733
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Hollywood Blvd Ste 300n
Hollywood, FL 33021-1242
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.