Organization
SOUTHERN KIDNEY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FREMIN MD (OWNER)
(504) 722-9086
Entity
Organization
Contact information
Practice address
1057 PAUL MAILLARD RD, SUITE 210, LULING, LA 70070-4349
(504) 722-9086
Mailing address
PO BOX 1800, LULING, LA 70070-1800
(504) 722-9086
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
03/16/2017
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