East Tennessee Nephrology Pc

LBN: East Tennessee Nephrology Pc
East Tennessee Nephrology Pc is an health care organization with primary practice located at 2001 Laurel Ave Ste 206, Knoxville TN 37916-1865. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. East Tennessee Nephrology Pc can be contacted via phone (865) 524-3131, or through Kiss, Stephen C via phone (865) 524-3131.

Contact Information

Primary practice address
2001 Laurel Ave Ste 206 Knoxville TN 37916-1865
Fax: (865) 212-6323
Website:
Authorized official contact:
Name: Kiss, Stephen C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1083622526
LBN Legal business name East Tennessee Nephrology Pc
DBA Doing business as
Authorized official Kiss, Stephen C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 2nd, 2010 - about 16 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 1083622526 NPPES
Tennessee MEDICAID 3721896

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