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Organization

KIDNEY CONSULTANTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAZEN N NEMEH MD (OWNER AND PROVIDER)
(605) 322-8290
Entity
Organization

Contact information

Practice address
911 E 20TH ST, STE # 401, SIOUX FALLS, SD 57105-1042
(605) 322-8290
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025125300
NE
Enumeration date
07/15/2006
Last updated
02/22/2013
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