PENINSULA KIDNEY ASSOCIATES PC NPI 1750436531

NPI Information

PENINSULA KIDNEY ASSOCIATES PC is a nephrology internal medicine in Hampton, VA. 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. PENINSULA KIDNEY ASSOCIATES PC NPI is 1750436531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 BUTLER FARM RD
SUITE I
HAMPTON, VA
ZIP 23666-564
Phone: (757) 251-7469
Fax: (757) 251-7470

The provider's authorized official is Shawana L Davis .
The authorized official title is Administrator and has the following contact phone number (757) 251-7469.

The CLIA number assigned to this NPI record is 49D0704872 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/24/2007 and was last updated on 6/2/2016.

Taxonomy Codes

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Other Identifiers

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