Renal Specialists of Kentucky PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

41829 Issued in KY

Legal business name

RENAL SPECIALISTS OF KENTUCKY PSC

Practice address

77 Mack Walters Rd
Ste 300
Shelbyville, KY 40065-1789

Phone

(502) 437-5161

Fax

(502) 437-5163

NPI assigned

Aug 30, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick V Arndt, MD

Title

President

Phone

(502) 437-5161

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1023399458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MACK WALTERS RD",
            "address_2": "STE 300",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651789",
            "telephone_number": "502-437-5161",
            "fax_number": "502-437-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MACK WALTERS RD",
            "address_2": "STE 300",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651789",
            "telephone_number": "502-437-5161",
            "fax_number": "502-437-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL SPECIALISTS OF KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-437-5161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "41829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100182040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Raysor
• Ashley A Redenbaugh, SLP
• Kimberly H Reese, D.C.
• Shelby Annmarie Reeves, 106S000000X
• Renaissance Shelbyville Partners 1, LLC
• Dona Fay Renfro
• Rescare. Inc.
• Kristen Reynolds
• Savannah Reynolds
• Marilyn Louise Rhoads, ARNP

• Nephrology Physician in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.