National Provider Identifier Database

MY KIDNEY CENTER LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MY KIDNEY CENTER, LLC
1133 COLLEGE AVE
BUILDING B, SUITE 100
MANHATTAN, KS66502-2770
Phone: 785-565-9500
Fax: 785-565-9595
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for MY KIDNEY CENTER, LLC

NPI Number 1770823668
Legal business name
LBN
MY KIDNEY CENTER, LLC
Authorized official FADI BEDROS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2013
Last updated 08/30/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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