AKDHC LLC NPI 1720502073

NPI Information

  • NPI: 1720502073
  • Provider Name: AKDHC, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 03D2008284
  • Address: 4475 S I 19 FRONTAGE RD STE 101
    GREEN VALLEY, AZ
    ZIP 85614
  • Phone: (520) 622-3569

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NPI Details

AKDHC, LLC is a nephrology internal medicine in Green Valley, AZ. 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. AKDHC, LLC NPI is 1720502073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4475 S I 19 FRONTAGE RD STE 101
GREEN VALLEY, AZ
ZIP 85614-884
Phone: (520) 622-3569
Fax: (520) 623-7257

The provider's authorized official is Kristen Klein .
The authorized official title is Director Of Physician Services and has the following contact phone number (602) 997-0484.

The CLIA number assigned to this NPI record is 03D2008284 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2017 and was last updated on 11/27/2024.

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 MedicineNephrologyARIZONAYes

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
1244929MEDICAIDARIZONA

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: 3/30/2025

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