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KIDNEY CARE CONSULTANTS PSC NPI 1083635908


NPI Information

NPI: 1083635908
Provider Name: KIDNEY CARE CONSULTANTS, PSC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
716 W BROADWAY
LOUISVILLE, KY
ZIP 40202
Phone: (502) 595-7744
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KIDNEY CARE CONSULTANTS, PSC is a nephrology internal medicine in Louisville, KY. 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. KIDNEY CARE CONSULTANTS, PSC NPI is 1083635908. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

716 W BROADWAY
LOUISVILLE, KY
ZIP 40202-216
Phone: (502) 595-7744
Fax: (502) 595-7007

The provider's authorized official is Abdul G. Buridi .
The authorized official title is Md/owner and has the following contact phone number (502) 238-9911.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 12/4/2015.


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
2207RN0300XInternal 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
165938649MEDICAIDKENTUCKY
27593MEDICARE PINKENTUCKY
37100371660MEDICAIDKENTUCKY
4202690MEDICARE PININDIANA
5200414260AMEDICAIDINDIANA

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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