SOUTHERN KIDNEY ASSOCIATES PLLC NPI 1194292516

NPI Information

SOUTHERN KIDNEY ASSOCIATES PLLC is a nephrology internal medicine in Shreveport, LA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SOUTHERN KIDNEY ASSOCIATES PLLC NPI is 1194292516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 E 70TH ST
SHREVEPORT, LA
ZIP 71105-301
Phone: (800) 276-9017
Fax: (903) 234-9992

The provider's authorized official is Tiffany Hagood .
The authorized official title is Practice Administrator and has the following contact phone number (903) 234-9992.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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