Organization
KIDNEY CARE CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL G. BURIDI MD (MD/OWNER)
(502) 238-9911
Entity
Organization
Contact information
Practice address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 595-7744
(502) 595-7007
Mailing address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 238-9911
(502) 238-9912
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200414260A
—
IN
05
—
65938649
—
KY
05
—
7100371660
—
KY
Enumeration date
07/23/2006
Last updated
02/26/2025
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