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Contact Information

KIDNEY WELLCARE & COUNSELING LLC
9666 OLIVE BLVD STE 205
OLIVETTE, MO63132-3025
 Phone: 614-425-2604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KIDNEY WELLCARE & COUNSELING LLC

NPI # 1669070892
LBN Legal business name KIDNEY WELLCARE & COUNSELING LLC
Authorized official BARRON RUTLEDGE - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2020
Last updated 10/09/2020 - About 6 years 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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