OrganizationActive
Kidney Institute of Wisconsin, LLC
NPI 1831262674 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Glendale, WI
Provider details
- NPI number
- 1831262674
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Herbert Lawson, Cfo(303) 785-7521
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5650 N Green Bay Ave
Suite 150
Glendale, WI 53209-4446
Phone: (414) 431-5960
Fax: (414) 434-0359
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Central Ave
Boulder, CO 80301-2838
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.