Organization
RENAL ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARTHIKAPALLIL ANTONY MD (OWNER OF PRACTICE)
(314) 843-3449
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SUITE 315A, SAINT LOUIS, MO 63128-2141
(314) 843-3449
(314) 843-8762
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2001004843
MO
Other
Enumeration date
02/03/2006
Last updated
10/17/2007
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