| NPI | 1700106861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S WILLIAMS Owner 985-845-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA 025637) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-11-20 |