IMPACT PHYSICIAN GROUP NEPHROLOGY, LLC is a nephrology internal medicine in Lebanon, IN. 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. IMPACT PHYSICIAN GROUP NEPHROLOGY, LLC NPI is 1003704875. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1585 PERRY WORTH RD LEBANON, IN ZIP 46052-635 Phone: (765) 482-6391
The provider's authorized official is Paul Miller . The authorized official title is Ceo and has the following contact phone number (678) 699-4977.
The enumeration date for this NPI number is 6/27/2025 and was last updated on 6/27/2025.
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:
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: 3/30/2025
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