Kidney Center of South Louisiana, Amc

NPI #1386858918 in Thibodaux, Louisiana

Provider Information

NPI Number
1386858918
Entity Type
Organization
Organization Name
Kidney Center of South Louisiana, Amc
Subpart
Yes (part of a larger organization)
Parent Organization
KIDNEY CENTER OF SOUTH LOUISIANA, AMC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
May 10, 2007
Last Updated
Sep 12, 2018

Practice Location

Address
604 N. ACADIA RD.
Address 2
SUITE 405
ZIP Code
70301
Phone
(985) 446-0871

Authorized Official

Name
MRS. VICKI C. LEDET
Title
PRACTICE ADMINISTRATOR
Phone
(985) 446-0871

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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