INTEGRATIVE KIDNEY ASSOCIATES PLLC NPI 1013665488

NPI Information

NPI: 1013665488
Provider Name: INTEGRATIVE KIDNEY ASSOCIATES, PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
421 S SHARON AMITY RD STE B
CHARLOTTE, NC
ZIP 28211
Phone: (704) 826-3722
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INTEGRATIVE KIDNEY ASSOCIATES, PLLC is a nephrology internal medicine in Charlotte, NC. 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. INTEGRATIVE KIDNEY ASSOCIATES, PLLC NPI is 1013665488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 S SHARON AMITY RD STE B
CHARLOTTE, NC
ZIP 28211-882
Phone: (704) 826-3722
Fax: (404) 506-9090

The provider's authorized official is Kaliliah Wilson .
The authorized official title is Credentialing Specialist and has the following contact phone number (404) 287-3212.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 10/2/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5911907	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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