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Kidney Disease Consultants, P.c.
Specialist in Southaven, Mississippi
NPI 1134260870

Kidney Disease Consultants, P.c. is a Specialist based in Southaven, MS. Kidney Disease Consultants, P.c. practices in Southaven, MS. The NPI Number for Kidney Disease Consultants, P.c. is 1134260870 and holds a License No. (Mississippi).

The current practice location address for Kidney Disease Consultants, P.c. is 1890 Goodman Rd E, Southaven, MS and can be reached out via phone at 662-536-1859.

Location: 1890 Goodman Rd E, Southaven, MS, 38671-0005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134260870
Provider Name
Kidney Disease Consultants, P.c.
Credential
Provider Entity Type
Organization
Address
1890 Goodman Rd E, Southaven, MS, 38671-0005
Phone Number
662-536-1859
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3724848 05 TN
231379826 01 MS BLUE CROSS
06530562 05 MS
4093914 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
1890 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38671-9504
Phone Number
662-536-1859
Fax Number
person
Provider Business Mailing Address Details
Address
1890 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38671-9504
Phone Number
662-536-1859
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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