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Childrens Kidney Specialists Pllc
Pediatric Nephrology Physician in Boise, Idaho
NPI 1700088002

Childrens Kidney Specialists Pllc is a Pediatric Nephrology Physician based in Portland, ID and is specialized in Pediatric Nephrology. Childrens Kidney Specialists Pllc practices in Boise, ID. The NPI Number for Childrens Kidney Specialists Pllc is 1700088002 and holds a License No. M6943 (Idaho).

The current practice location address for Childrens Kidney Specialists Pllc is 100 E Idaho St, Boise, ID and can be reached out via phone at 208-381-7336 and via fax at 208-381-7495.

Location: 100 E Idaho St, Boise, ID, 97229-8448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700088002
Provider Name
Childrens Kidney Specialists Pllc
Credential
Provider Entity Type
Organization
Address
100 E Idaho St, Boise, ID, 97229-8448
Phone Number
208-381-7336
Fax Number
208-381-7495
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010026970 01 ID BLUE SHIELD
003401500 05 ID
institution
Provider Business Practice Location Address Details
Address
100 E Idaho St
City
Boise
State
Idaho
Zip
83712-6223
Phone Number
208-381-7336
Fax Number
208-381-7495
person
Provider Business Mailing Address Details
Address
100 E Idaho St
City
Boise
State
Idaho
Zip
83712-6223
Phone Number
208-381-7336
Fax Number
208-381-7495
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Nephrology
Taxonomy
2080P0210X
License No.
M6943 (Idaho)
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
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