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NPI Profile for KIDNEY CARE CLINIC PLLC in COOKEVILLE, TN.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional |
| NPI # | 1932779170 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/29/2021 | |
| Last updated | 01/08/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIDNEY CARE CLINIC PLLC
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KIDNEY CARE CLINIC PLLC