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Organization
KIDNEY CARE CENTER MEMPHIS LLC
Active
Organization
KIDNEY CARE CENTER MEMPHIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU OLATUNJI ALAUSA MD (CHIEF MEDICAL OFFICER)
(815) 741-6830
Entity
Organization
Contact information
Practice address
6027 WALNUT GROVE RD STE 405, MEMPHIS, TN 38120-2129
(901) 888-4144
(901) 619-7717
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7174
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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