COORDINATED KIDNEY CARE GROUP INC. NPI 1407044308

NPI Information

  • NPI: 1407044308
  • Provider Name: COORDINATED KIDNEY CARE GROUP, INC.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1 NOLTE DR BLDG 700
    KITTANNING, PA
    ZIP 16201
  • Phone: (724) 548-1395

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NPI Details

COORDINATED KIDNEY CARE GROUP, INC. is a nephrology internal medicine in Kittanning, PA. 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. COORDINATED KIDNEY CARE GROUP, INC. NPI is 1407044308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 NOLTE DR BLDG 700
KITTANNING, PA
ZIP 16201-111
Phone: (724) 548-1395

The provider's authorized official is C. Ross Betts .
The authorized official title is Physician and has the following contact phone number (724) 548-1395.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 4/21/2023.

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
1207RN0300XInternal MedicineNephrologyMD045564EPENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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