# INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMCN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679916001
- **Authorized official:** DR. BRYANT KING MD (OWNER)
- **Authorized official phone:** (317) 757-9731

## Contact information

- **Practice address:** 6925 SHORE TER, INDIANAPOLIS, IN 46254-4675
- **Practice address phone:** (317) 290-8288
- **Practice address fax:** (317) 290-8801
- **Mailing address:** 6925 SHORE TER, INDIANAPOLIS, IN 46254-4675
- **Mailing address phone:** (317) 290-8288
- **Mailing address fax:** (317) 290-8801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 01061402A | IN | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 11/06/2013