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Contact Information

KIDNEY CARE CLINIC PLLC
427 N WILLOW AVE STE C
COOKEVILLE, TN38501-2354
 Phone: 931-650-0076
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for KIDNEY CARE CLINIC PLLC

NPI Number 1932779170
LBN Legal business name KIDNEY CARE CLINIC PLLC
Authorized official ZAID BRIFKANI - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2021
Last updated 01/08/2025 - More than a year ago
Identifiers n/a
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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