OrganizationActive
Kingston Dialysis LLC
NPI 1891162301 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Boulder, CO
Provider details
- NPI number
- 1891162301
- 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
- 120301 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2880 Folsom St Ste 110
Boulder, CO 80304
Phone: (303) 440-5600
Fax: (303) 440-4165
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Boulder Dialysis Center
- Doing business as
- Boulder Dialysis Center
Registry dates
- Enumerated
- 2015-09-01
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.