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MONTGOMERY KIDNEY SPECIALISTS NPI 1356452403


NPI Information

NPI: 1356452403
Provider Name: MONTGOMERY KIDNEY SPECIALISTS

Doing Business As: MONTGOMERY KIDNEY SPECIALISTS OF SELMA

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0693345

Address:
2034 CHESTNUT ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 269-0212
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MONTGOMERY KIDNEY SPECIALISTS is a specialist in Montgomery, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MONTGOMERY KIDNEY SPECIALISTS NPI is 1356452403. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Montgomery Kidney Specialists Of Selma.

The provider's business location address is:

2034 CHESTNUT ST
MONTGOMERY, AL
ZIP 36106-111
Phone: (334) 269-0212
Fax: (334) 269-2144

The provider's authorized official is Anna New .
The authorized official title is Business Administrator and has the following contact phone number (334) 269-0212.

The CLIA number assigned to this NPI record is 01D0693345 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 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
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.