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Organization
KIDNEY CARE, P.C.
Active
Organization
KIDNEY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA G PENNELL (PRACTICE MANAGER)
(704) 873-6515
Entity
Organization
Contact information
Practice address
2603 DAVIE AVE, STATESVILLE, NC 28625-8256
(704) 873-6515
(704) 873-6508
Mailing address
2603 DAVIE AVE, STATESVILLE, NC 28625-8256
(704) 873-6515
(704) 873-6508
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890153L
—
NC
Enumeration date
05/23/2006
Last updated
08/22/2020
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