Organization
LAFAYETTE KIDNEY CARE LLC
Active
Other names
Kidney Care of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VALLE (PRESIDENT)
(781) 699-9362
Entity
Organization
Contact information
Practice address
201 4TH ST STE 5A, ALEXANDRIA, LA 71301-8421
(318) 483-1961
(318) 483-1964
Mailing address
301 4TH ST STE 30105, ALEXANDRIA, LA 71301-8420
(318) 483-1961
(318) 483-1964
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460960
—
LA
Enumeration date
06/07/2017
Last updated
07/24/2024
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