Integrative Kidney Associates, Pllc
NPI #1013665488 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1013665488
- Entity Type
- Organization
- Organization Name
- Integrative Kidney Associates, Pllc
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Mar 15, 2022
- Last Updated
- Oct 2, 2023
Practice Location
- Address
- 421 S SHARON AMITY RD STE B
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28211-2882
- Phone
- (704) 826-3722
Authorized Official
- Name
- KALILIAH WILSON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (404) 287-3212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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