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UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS LLC NPI 1477600773


NPI Information

NPI: 1477600773
Provider Name: UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC
Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

Address:
210 E GRAY STREET
STE. 1000
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-3972
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UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC is a pediatric nephrology pediatrics in Louisville, KY. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC NPI is 1477600773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E GRAY STREET
STE. 1000
LOUISVILLE, KY
ZIP 40202-906
Phone: (502) 629-3972
Fax: (502) 629-3975

The provider's authorized official is Gerard P. Rabalais .
The authorized official title is Chairman and has the following contact phone number (502) 852-8600.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/14/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363LP0200XNurse PractitionerPediatricsNo
3207RN0300XInternal MedicineNephrologyNo
42080P0210XPediatricsPediatric NephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17770MEDICARE PINKENTUCKY
2200432180MEDICAIDINDIANA
365939571MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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