NPI 1134260870

Kidney Disease Consultants, P.C.

Organisation Specialist Southaven, MS

Practice location

Address: 1890 Goodman Rd E Suite 101, Southaven, MS 38671-9504
Phone: (662) 536-1859
Mailing address: PO Box 366, Southaven, MS 38671-0005

Authorised official

Name: Olufemi Adeleye
Title: President
Phone: (901) 289-5206

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Mississippi →

Registry record

NPI: 1134260870
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 3 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.