Integrative Kidney Associates, Pllc

LBN: Integrative Kidney Associates, Pllc
Integrative Kidney Associates, Pllc is an health care organization with primary practice located at 421 S Sharon Amity Rd Ste B , Charlotte NC 28211-2882. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Integrative Kidney Associates, Pllc can be contacted via phone (704) 826-3722, or through Wilson, Kaliliah via phone (404) 287-3212.

Contact Information

Primary practice address
421 S Sharon Amity Rd Ste B Charlotte NC 28211-2882
Phone: (704) 826-3722
Fax: (404) 506-9090
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Kaliliah
Phone: (404) 287-3212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1013665488
LBN Legal business name Integrative Kidney Associates, Pllc
DBA Doing business as
Authorized official Wilson, Kaliliah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2022
Last updated Oct 2nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013665488 NPPES
North Carolina MEDICAID 5911907

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