University Children'S Kidney Specialists, Llc

LBN: University Children'S Kidney Specialists, Llc
University Children'S Kidney Specialists, Llc is an health care organization with primary practice located at 210 E Gray Street Ste. 1000, Louisville KY 40202-3906. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatric Nephrology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is the primary health care specialty. University Children'S Kidney Specialists, Llc can be contacted via phone (502) 629-3972, or through Rabalais, Gerard P. via phone (502) 852-8600.

Contact Information

Primary practice address
210 E Gray Street Ste. 1000 Louisville KY 40202-3906
Phone: (502) 629-3972
Fax: (502) 629-3975
Website:
Map and Directions
Authorized official contact:
Name: Rabalais, Gerard P. Doctor of Medicine (MD)
Phone: (502) 852-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1477600773
LBN Legal business name University Children'S Kidney Specialists, Llc
DBA Doing business as
Authorized official Rabalais, Gerard P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated May 14th, 2012 - about 12 years ago

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 1477600773 NPPES
Indiana MEDICAID 200432180
Indiana MEDICAID 65939571

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