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Organization
LAFAYETTE KIDNEY CARE LLC
Active
Organization
LAFAYETTE KIDNEY CARE LLC
Active
Other names
Kidney Care of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
201 4TH ST STE 5A, ALEXANDRIA, LA 71301-8421
(318) 483-1961
(318) 483-1964
Mailing address
301 4TH ST STE 30105, ALEXANDRIA, LA 71301-8420
(318) 483-1961
(318) 483-1964
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460960
—
LA
Enumeration date
06/07/2017
Last updated
07/24/2024
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