Childrens Kidney Specialists Pllc

Pediatric Nephrology

Childrens Kidney Specialists Pllc is a Boise, Idaho based Pediatric center with medical specialization in Pediatric Nephrology. It is located at 100 E Idaho St, 200, Boise, Idaho - 83712-6223. They can be contacted on phone at 208-381-7336 and fax number 208-381-7495.
NPI number (Unique professional ID) for Childrens Kidney Specialists Pllc is 1700088002 which was assigned by NPPES on 31 May, 2007 and it was last updated on 20 Jun, 2012. Childrens Kidney Specialists Pllc license number is M6943 for Pediatrics Pediatric Nephrology (2080P0210X) in Idaho.
Childrens Kidney Specialists Pllc deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Childrens Kidney Specialists Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Nephrology
Provider Name :Childrens Kidney Specialists Pllc
Business Address:
Childrens Kidney Specialists Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :100 E Idaho St, 200
Boise, ID, 83712-6223
United States
Phone Number :208-381-7336
Fax Number :208-381-7495
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1700088002
NPI Entity Type : Organization
First Enrolment Date : 31 May, 2007
Last Updated On : 20 Jun, 2012
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Randall Jenkins
Authorized Official Credential :MD
Official Title or Position :DOCTOR
Phone Number :208-381-7336
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Kidney Specialists Pllc are as mentioned. Primary taxonomy code for Childrens Kidney Specialists Pllc is 2080P0210X (Pediatrics Pediatric Nephrology).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0210XPediatrics Pediatric NephrologyYesM6943ID
Legacy Identifiers:
Other legacy medical identifiers of Childrens Kidney Specialists Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
003401500MEDICAIDID
=========OtherIDBLUE CROSS
000010026970OtherIDBLUE SHIELD
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1935 Nw Norfolk Ct
Portland, OR, 97229-8448
United States
Phone Number :503-297-3178
Fax Number :208-381-7495
Business Location:
Patients can refer following map for directions to Childrens Kidney Specialists Pllc practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.