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EAST TENNESSEE NEPHROLOGY PC NPI 1083622526


NPI Information

NPI: 1083622526
Provider Name: EAST TENNESSEE NEPHROLOGY PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
2001 LAUREL AVE
STE 206
KNOXVILLE, TN
ZIP 37916
Phone: (865) 524-3131
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EAST TENNESSEE NEPHROLOGY PC is a nephrology internal medicine in Knoxville, TN. 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. EAST TENNESSEE NEPHROLOGY PC NPI is 1083622526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 LAUREL AVE
STE 206
KNOXVILLE, TN
ZIP 37916-865
Phone: (865) 524-3131
Fax: (865) 212-6323

The provider's authorized official is Stephen C Kiss .
The authorized official title is President Md and has the following contact phone number (865) 524-3131.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/2/2010.


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 MedicineNephrologyYes

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
13721896MEDICAIDTENNESSEE
23721896MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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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