Provider Demographics
NPI:1346047065
Name:KENDALL KIDNEY CENTER LLC
Entity type:Organization
Organization Name:KENDALL KIDNEY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:KIDNEY
Authorized Official - Last Name:CENTER
Authorized Official - Suffix:
Authorized Official - Credentials:DALY RODRIGUEZ DURAN
Authorized Official - Phone:786-445-3311
Mailing Address - Street 1:10989 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4412
Mailing Address - Country:US
Mailing Address - Phone:786-445-3311
Mailing Address - Fax:
Practice Address - Street 1:10989 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4412
Practice Address - Country:US
Practice Address - Phone:786-445-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment