Kidney Care Home Sc

NPI #1831822956 in Kenosha, Wisconsin

Provider Information

NPI Number
1831822956
Entity Type
Organization
Organization Name
Kidney Care Home Sc
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Jul 6, 2022
Last Updated
Jul 6, 2022

Practice Location

Address
6125 GREEN BAY RD STE 200
ZIP Code
53142-2945
Phone
(262) 564-8636

Authorized Official

Name
GANESH N PULLA, M.D.
Title
OWNER/MEDICAL DIRECTOR
Phone
(262) 564-8636

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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