Kidney Care Clinic Pllc | |
427 N Willow Ave Ste C, Cookeville, TN 38501-2354 | |
(931) 650-0076 | |
Not Available |
Full Name | Kidney Care Clinic Pllc |
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Type | Facility |
Speciality | Internal Medicine - Nephrology |
Location | 427 N Willow Ave Ste C, Cookeville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932779170 | NPI | - | NPPES |
Provider Name | Elizabeth A Walker |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1790835601 PECOS PAC ID: 0941394001 Enrollment ID: I20070919000983 |
Provider Name | Zaid Brifkani |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1457516163 PECOS PAC ID: 6507036092 Enrollment ID: I20110818000526 |
Provider Name | Taylor Adell Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801560941 PECOS PAC ID: 3072910843 Enrollment ID: I20210921001874 |
Provider Name | Shawn Billingsley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508530734 PECOS PAC ID: 2860899382 Enrollment ID: I20210927002202 |
Provider Name | Rohan Kataria |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1821587353 PECOS PAC ID: 8527319334 Enrollment ID: I20230419003090 |
Provider Name | Gabino Manuel Maza Rodas |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1710484241 PECOS PAC ID: 8527316892 Enrollment ID: I20230424002389 |
Provider Name | Stephanie Ann Legin |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1124448949 PECOS PAC ID: 9234595430 Enrollment ID: I20230512002240 |
Mailing Address | Practice Location Address |
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Kidney Care Clinic Pllc 427 N Willow Ave Ste C, Cookeville, TN 38501-2354 Ph: (931) 650-0076 | Kidney Care Clinic Pllc 427 N Willow Ave Ste C, Cookeville, TN 38501-2354 Ph: (931) 650-0076 |