Kidney Care Clinic LLC
Internal Medicine, Nephrology in Cumming, GA. Organization (NPI-2).
NPI number1376455451
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1376455451
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidney Care Clinic LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2026
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
1505 Northside Blvd Ste 3400Cumming, GA 30041-8223
Phone 205-552-9221
Mailing address
15555 Ne 68th CtRedmond, WA 98052-4829
Authorized official
Khushleen Jaggi
Owner
2055529221
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