Healthcare Provider Details

I. General information

NPI: 1457277311
Provider Name (Legal Business Name): LUMINA KIDNEY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARRIAGE DR
BECKLEY WV
25801-2812
US

IV. Provider business mailing address

200 E BUNTING LN
BECKLEY WV
25801-3678
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-7878
  • Fax: 304-451-0239
Mailing address:
  • Phone: 304-255-7878
  • Fax: 304-451-0239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE FRANCES SCHRETLEN
Title or Position: PRESIDENT
Credential: MD
Phone: 410-812-6847