Total Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1235194184

Total Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Jenkins, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in: KY
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

483 Gateway Industrial Park
Jenkins, KY 41537-9209
Phone: (606) 832-2070
Fax: (606) 832-2345

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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 · Licence 300155 (KY)

Record details

NPI number	1235194184
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Sr Director Licensure&Certification · (615) 341-6641
Other names	Raven Rock Dialysis; Raven Rock Dialysis
NPI enumerated	April 20, 2006
Last updated in NPPES	September 25, 2023
Certification date	September 25, 2023
Mailing address	5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Kurt Sowers, MD Nephrology Physician · Hazard, KY