Provider First Line Business Practice Location Address:
800 ST. JOSEPH DRIVE
Provider Second Line Business Practice Location Address:
DIALYSIS CLINIC
Provider Business Practice Location Address City Name:
KOKOMO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46901-1983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-236-1239
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2022