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:
Authorized official contact:
Name: Rabalais, Gerard P. Doctor of Medicine (MD)
Phone: (502) 852-8600
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477600773 | NPPES |
| Indiana | MEDICAID | 200432180 | |
| Indiana | MEDICAID | 65939571 |
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