DULUTH KIDNEY SERVICES LLC NPI 1972552156

NPI Information

  • NPI: 1972552156
  • Provider Name: DULUTH KIDNEY SERVICES LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 925 E SUPERIOR ST
    SUITE 106
    DULUTH, MN
    ZIP 55802
  • Phone: (218) 249-6230

Map and Directions

Get Directions

NPI Details

DULUTH KIDNEY SERVICES LLC is a specialist in Duluth, MN. 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. DULUTH KIDNEY SERVICES LLC NPI is 1972552156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

925 E SUPERIOR ST
SUITE 106
DULUTH, MN
ZIP 55802
Phone: (218) 249-6230
Fax: (218) 249-6231

The provider's authorized official is Sandy Popham .
The authorized official title is Owner Md and has the following contact phone number (218) 249-6230.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/11/2008.

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
1174400000XSpecialistYes

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
104N86POOTHERMINNESOTABLUE CROSS MN
2462137900MEDICAIDMINNESOTA
3C03691MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
4C03691MEDICARE OSCAR/CERTIFICATIONMINNESOTA
59831014OTHERMEDICA

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI