Organization
KIDNEY SPECIALISTS, INC.
Active
Other names
Kidney Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A WILMER MD (PRESIDENT)
(614) 823-8500
Entity
Organization
Contact information
Practice address
595 COPELAND MILL RD, SUITE 2D, WESTERVILLE, OH 43081-8908
(614) 823-8500
(614) 823-8501
Mailing address
595 COPELAND MILL RD, SUITE 2D, WESTERVILLE, OH 43081-8908
(614) 823-8500
(614) 823-8501
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411303
—
OH
05
—
2436055
—
OH
05
—
2436082
—
OH
05
—
2436117
—
OH
05
—
2446884
—
OH
Enumeration date
08/08/2006
Last updated
09/24/2015
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