# KIDNEY HEALTH PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861191017
- **Authorized official:** ALICIA J PALMER (ASSISTANT SECRETARY AND CLO)
- **Authorized official phone:** (202) 236-7061

## Contact information

- **Practice address:** 1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
- **Practice address phone:** (571) 992-0600
- **Mailing address:** 1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
- **Mailing address phone:** (571) 992-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 02/27/2023