Duluth Kidney Services Llc in Duluth - Specialist
Duluth Kidney Services Llc - NPI 1972552156
Duluth Kidney Services Llc is a Specialist in Duluth, Minnesota. Duluth Kidney Services Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Duluth Kidney Services Llc is 1972552156. The last update date is 2008-11-11.
Duluth Kidney Services Llc's current location address is 925 E Superior St, Duluth, Minnesota. You can contact this provider via phone number 2182496230 and fax number 2182496231. The mailing address for Duluth Kidney Services Llc is 925 E Superior St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Duluth Kidney Services Llc |
|---|---|
| Address | 925 E Superior St, Duluth, Minnesota |
| Phone Number | 2182496230 |
| Fax Number | 2182496231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER MD |
|---|---|
| Authorized Official Name | Popham Sandy |
| Credentials | MD |
| Telephone Number | 2182496230 |
NPI Number Detail
| NPI Number | 1972552156 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2008-11-11 |
Provider Mailing Address Detail
| Address | 925 E Superior St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 55802 |
| Phone Number | 2182496230 |
| Fax Number | 2182496231 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9831014 | MEDICA | ||
| 04N86PO | MN | BLUE CROSS MN | |
| 462137900 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Duluth Kidney Services Llc?
The Duluth Kidney Services Llc has been issued the NPI (National Provider Identifier) 1972552156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Duluth Kidney Services Llc's physical address?
The Duluth Kidney Services Llc is physically located at 925 E Superior St, in the city of Duluth, MN, with the postal code 55802.
What is the Duluth Kidney Services Llc's area of specialization and corresponding taxonomy classification?
The Duluth Kidney Services Llc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did Duluth Kidney Services Llc receive its 1972552156 assignment from the Centers for Medicare & Medicaid Services?
The Duluth Kidney Services Llc was assigned its 1972552156 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Duluth Kidney Services Llc's information last updated?
The Duluth Kidney Services Llc's information was last updated on 2008-11-11.