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NPI Code Detail

MEDICARE: GATEWAY KIDNEY CARE, LLC

MEDICARE: GATEWAY KIDNEY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1457991598
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY KIDNEY CARE, LLC
Provider Business Mailing Address
First Line : 1125 17TH ST STE 1000
Second Line :
City : DENVER
State : CO
Zip : 80202-2043
Country : US
Telephone Number : 980-443-4852
Fax Number :
Provider Business Practice Location Address
First Line : 1125 17TH ST STE 1000
Second Line :
City : DENVER
State : CO
Zip : 80202-2043
Country : US
Telephone Number : 980-443-4852
Fax Number :
Authorized Official
Title or Position : VP, CENTRAL SERVICES
Name : ALLIE SILVER
Credential :
Telephone Number : 980-443-4852
Provider Enumeration Date : 01/07/2020
Last Update Date : 08/15/2025

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Directions to “GATEWAY KIDNEY CARE, LLC ” Practice Location

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