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 |
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| Provider Name : | Childrens Kidney Specialists Pllc |
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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 |
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| Phone Number : | 208-381-7336 |
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| Fax Number : | 208-381-7495 |
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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 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 May, 2007 |
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| Last Updated On : | 20 Jun, 2012 |
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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 |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | DOCTOR |
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| Phone Number : | 208-381-7336 |
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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 | Speciality | Primary | License No. | State |
|---|
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | M6943 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Childrens Kidney Specialists Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003401500 | MEDICAID | ID | |
| ========= | Other | ID | BLUE CROSS |
| 000010026970 | Other | ID | BLUE 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 |
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| Phone Number : | 503-297-3178 |
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| Fax Number : | 208-381-7495 |
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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.