OrganizationActive
Kobuk Dialysis LLC
NPI 1649517673 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ottumwa, IA
Provider details
- NPI number
- 1649517673
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
1005 Pennsylvania Ave Ste 101
Ottumwa, IA 52501-6408
Phone: (641) 682-1531
Fax: (641) 682-0794
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2025-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.