KIDNEY DOCTORS OF KENTUCKIANA PLLC NPI 1073961843

NPI Information

NPI: 1073961843
Provider Name: KIDNEY DOCTORS OF KENTUCKIANA PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1035 WALL ST STE 103
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 283-9111
Get Directions

KIDNEY DOCTORS OF KENTUCKIANA PLLC is a nephrology internal medicine in Jeffersonville, IN. The provider is 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. KIDNEY DOCTORS OF KENTUCKIANA PLLC NPI is 1073961843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1035 WALL ST STE 103
JEFFERSONVILLE, IN
ZIP 47130-695
Phone: (812) 283-9111
Fax: (812) 283-9001

The provider's authorized official is Muad A Maya .
The authorized official title is Owner and has the following contact phone number (812) 283-9111.

The enumeration date for this NPI number is 6/2/2016 and was last updated on 10/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50110029	OTHER	KENTUCKY	PASSPORT HEALTH PLAN
2	7100419990	MEDICAID	KENTUCKY
3	IN3029	MEDICARE PIN	INDIANA
4	DW6469	OTHER	INDIANA	RAILROAD MEDICARE
5	K203140	MEDICARE PIN	KENTUCKY
6	201363590	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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