Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Puget Sound Kidney Centers

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1093835811

Puget Sound Kidney Centers provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Mountlake Terrace, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

21309 44th Ave W
Mountlake Terrace, WA 98043-3507 Not confirmed with CMS for 18 years — call before visiting
Phone: (425) 744-1095
Fax: (425) 775-1144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X (WA)

Record details

NPI number1093835811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harold Kelly — President & Ceo · (425) 259-5195
Other names Pskc - South
NPI enumeratedMarch 29, 2007
Last updated in NPPESFebruary 5, 2008
Mailing address1005 Pacific Ave, Everett, WA 98201-4148

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.