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Contact Information

KIDNEY CENTER PLLC
1751 WEST MORRIS BLVD. SUITE 4
MORRISTOWN, TN37813
 Phone: 423-307-8951
 Fax: 423-307-8978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIDNEY CENTER PLLC

NPI Number 1699934711
LBN Legal business name KIDNEY CENTER PLLC
Authorized official MOHAMMED AHMED - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 06/04/2009 - About 17 years ago
Identifiers
TN License # MD35880
TN Medicaid 1506063
TN Other 38801040 MEDICARE GROUP
TN Other 38801041 MEDICARE INDV.
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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