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HOME DIALYSIS DULUTH KIDNEY SERVICES NPI 1629287792


NPI Information

NPI: 1629287792
Provider Name: HOME DIALYSIS DULUTH KIDNEY SERVICES
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
925 E SUPERIOR ST
SUITE 106
DULUTH, MN
ZIP 55802
Phone: (218) 249-6230
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HOME DIALYSIS DULUTH KIDNEY SERVICES is a nephrology internal medicine in Duluth, MN. 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. HOME DIALYSIS DULUTH KIDNEY SERVICES NPI is 1629287792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

925 E SUPERIOR ST
SUITE 106
DULUTH, MN
ZIP 55802-238
Phone: (218) 249-6230
Fax: (218) 249-6231

The provider's authorized official is Sandy Sue Popham .
The authorized official title is Owner and has the following contact phone number (218) 249-6230.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


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
1207RN0300XInternal MedicineNephrology35304MINNESOTAYes

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: 11/14/2023

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