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Contact Information

DULUTH KIDNEY SERVICES LLC
925 E SUPERIOR ST
SUITE 106
DULUTH, MN55802
 Phone: 218-249-6230
 Fax: 218-249-6231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DULUTH KIDNEY SERVICES LLC · (Female)

NPI # 1972552156
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2006
Last updated 11/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 462137900
  • Other 9831014 MEDICA
  • MN Other 04N86PO BLUE CROSS MN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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