OrganizationActive
Kingston Dialysis LLC
NPI 1164890604 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lakewood, CO
Provider details
- NPI number
- 1164890604
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
- License
- 12R950 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1750 Pierce St Ste a
Lakewood, CO 80214
Phone: (303) 232-0939
Fax: (303) 274-6096
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Mile High Home Dialysis
- Doing business as
- Mile High Home Dialysis
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.