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OLYMPIC PENINSULA KIDNEY CENTER SOUTH
NPI 1386694099
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Port Orchard, WA

Active since May 11, 2006
450 S KITSAP BLVD, SUITE 178, PORT ORCHARD, WA 98366(360) 895-7795(360) 895-7835 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olympic Peninsula Kidney Center South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIC PENINSULA KIDNEY CENTER SOUTH (NPI 1386694099) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Port Orchard, Washington and active in the NPI registry since May 2006. The organization lists Katrina Ardel Russell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386694099
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameOLYMPIC PENINSULA KIDNEY CENTER
Location Address450 S KITSAP BLVD, SUITE 178Port Orchard, WA 98366-3773
Mailing Address450 S Kitsap Blvd, Suite 178Port Orchard, WA 98366-3773 · (360) 895-7795 · Fax (360) 895-7835
Phone(360) 895-7795
Fax(360) 895-7835
Organization SubpartNo
Authorized OfficialKatrina Ardel RussellAdministrator · (206) 915-9502
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 15, 2009
✔ NPI 1386694099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
450 S KITSAP BLVD, Port Orchard, WA 98366
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Other Names 1

Doing Business AsOlympic Peninsula Kidney Center South

Other Identifiers 2

Medicare ID-Type Unspecified502532WA · Esrd
Medicaid3999109WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL ELDREDGE DIAMOND M.D.
Family Medicine
450 S KITSAP BLVD, SUITE 100
PORT ORCHARD, WA 98366
Kitsap County (360) 744-6275
DR. SHANE OP BROOKS DO
Emergency Medicine
450 S KITSAP BLVD, #100
PORT ORCHARD, WA 98366
Kitsap County (360) 744-6275
FARRELL'S HEALTH CENTERS, INC
Pharmacy
450 S KITSAP BLVD, #1800
PORT ORCHARD, WA 98366
Kitsap County (360) 876-1667
DR. HECTOR DECENA REYES JR. MD
Internal Medicine
450 S KITSAP BLVD
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900
JAMES RICHARD BATES M.D.
Internal Medicine
450 S KITSAP BLVD, BLDG. 1, SUITE 250
PORT ORCHARD, WA 98366
Kitsap County (360) 782-3000
THE DOCTORS CLINIC A PROFESSIONAL CORPORATION
Clinic/Center (Multi-Specialty)
450 S KITSAP BLVD, BLDG. 1, SUITE 250
PORT ORCHARD, WA 98366
Kitsap County (360) 782-3000
YOUNG-KI PAIK M.D.
Internal Medicine
450 S KITSAP BLVD, SUITE 250
PORT ORCHARD, WA 98366
Kitsap County (360) 782-3001
MR. PAUL DAVID BAKER ARNP
Nurse Practitioner
450 S KITSAP BLVD
PORT ORCHARD, WA 98366
Kitsap County (360) 874-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olympic Peninsula Kidney Center's NPI number?

The NPI number for Olympic Peninsula Kidney Center is 1386694099. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Olympic Peninsula Kidney Center South.

Where is Olympic Peninsula Kidney Center located?

Olympic Peninsula Kidney Center is located at 450 S Kitsap Blvd Suite 178, Port Orchard, WA 98366. The listed phone number is (360) 895-7795.

What is Olympic Peninsula Kidney Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Olympic Peninsula Kidney Center was last updated on December 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.