OrganizationActive
Kingston Dialysis LLC
NPI 1740657402 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Longmont, CO
Provider details
- NPI number
- 1740657402
- 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
1715 Iron Horse Dr Ste 170
Longmont, CO 80501-9617
Phone: (303) 485-4084
Fax: (303) 485-4081
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2015-08-28
- Last updated
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.