Kidney Institute of Tuscaloosa, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY INSTITUTE OF TUSCALOOSA, LLC

Practice address

1964 Bayshore Blvd
Suite C
Dunedin, FL 34698-2576

Phone

(727) 733-2040

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

June A Clark

Title

Vice President

Phone

(727) 733-2040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1508897745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 809",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-247-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 BAYSHORE BLVD",
            "address_2": "SUITE C",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982576",
            "telephone_number": "727-733-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY INSTITUTE OF TUSCALOOSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-733-2040"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DIA2618D",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa King Kendall, FNP
• Andrea Morganna Kerr, ARNP
• Santoya Callea Kerr
• Inayath Mohammed Khan
• Kidney Group of Florida LLC
• Kim T Rohr, DC PA
• Lynn King
• James R Kinney Jr., PSY.D.
• Heide Monica Kipp, APRN, FNP-BC
• Diane M Kirk, RD LDN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dunedin, FL
• Providers in Dunedin, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.