# EPSILON KIDNEY CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EPSILON KIDNEY CARE, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548975873
- **Legal business name:** EPSILON KIDNEY CARE, PC
- **Authorized official:** DR. STELLA AWUA-LARBI MD (OWNER)
- **Authorized official phone:** (630) 210-2550

## Contact information

- **Practice address:** 4770 WOODMERE BLVD STE C4, MONTGOMERY, AL 36106-3083
- **Practice address phone:** (888) 867-9799
- **Practice address fax:** (833) 841-0400
- **Mailing address:** PO BOX 33157, BELFAST, ME 04915-0609
- **Mailing address phone:** (888) 867-9799
- **Mailing address fax:** (833) 841-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2023
- **Last updated:** 01/20/2023