Hopkinsville Kidney Care PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HOPKINSVILLE KIDNEY CARE PLLC

Practice address

215 Burley Ave
Suite 2
Hopkinsville, KY 42240-8725

Phone

(270) 889-0282

Fax

(602) 798-8267

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Michael Walczyk, MD

Title

Owner

Phone

(270) 889-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1932587300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BURLEY AVE",
            "address_2": "SUITE 2",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-889-0282",
            "fax_number": "602-798-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BURLEY AVE",
            "address_2": "SUITE 2",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-889-0282",
            "fax_number": "602-798-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINSVILLE KIDNEY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "WALCZYK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-889-0282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100455650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hopkinsville Emergency Physicians LLC
• Hopkinsville Family Care PSC
• Hopkinsville Hearing Center
• Hopkinsville Hearing Center
• Hopkinsville High School
• Hopkinsville Ky Opco LLC
• Hopkinsville Middle School
• Hopkinsville Radiology, LLC
• Hopkinsville-Christian County Ambulance Service
• Sara E Horn, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.