Organization
MID DELTA KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED KRONFOL MD (OWNER)
(662) 335-4105
Entity
Organization
Contact information
Practice address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 332-7100
(662) 378-2879
Mailing address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 332-7100
(662) 378-2879
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220419
—
MS
Enumeration date
08/30/2006
Last updated
06/28/2008
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