Organization
KIDNEY COUNSELOR,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA COOK DALTON IX R.D.,L.D. (PRESIDENT/OWNER)
(334) 202-4342
Entity
Organization
Contact information
Practice address
4163 LOMAC ST, MONTGOMERY, AL 36106-2881
(334) 396-5570
(334) 396-5572
Mailing address
207 ARROWHEAD DR, MONTGOMERY, AL 36117-4105
(334) 202-4342
(334) 277-8929
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
270
AL
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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