Organization
HOPKINSVILLE KIDNEY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALCZYK MD (OWNER)
(270) 889-0282
Entity
Organization
Contact information
Practice address
215 BURLEY AVE, SUITE 2, HOPKINSVILLE, KY 42240-8725
(270) 889-0282
(602) 798-8267
Mailing address
215 BURLEY AVE, SUITE 2, HOPKINSVILLE, KY 42240-8725
(270) 889-0282
(602) 798-8267
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100455650
—
KY
Enumeration date
05/18/2015
Last updated
07/25/2019
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