| Kidney Associates Of The Tristate | |
|
6909 Burlington Pike Ste B Florence KY 41042-1618 | |
| (859) 912-7716 | |
| Not Available |
| Full Name | Kidney Associates Of The Tristate |
|---|---|
| Speciality | Internal Medicine |
| Location | 6909 Burlington Pike Ste B, Florence, Kentucky |
| Authorized Official Name and Position | Ai Tran (DIRECTOR) |
| Authorized Official Contact | 8598064876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Associates Of The Tristate Po Box 6018 Florence KY 41022-6018 Ph: (502) 662-6094 | Kidney Associates Of The Tristate 6909 Burlington Pike Ste B Florence KY 41042-1618 Ph: (859) 912-7716 |
| NPI Number | 1831730183 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 3072946656 |
|---|---|
| Medicare Enrollment ID | O20191212002113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831730183 | NPI | - | NPPES |
| Provider Name | Muhammad Rafiuddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487879599 PECOS PAC ID: 6901907757 Enrollment ID: I20070723000796 |
| Provider Name | Ai Ngoc Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316149412 PECOS PAC ID: 2365635844 Enrollment ID: I20101015000869 |
| Provider Name | Amberly Rea Jean Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861098212 PECOS PAC ID: 1557778875 Enrollment ID: I20210401001083 |
| Provider Name | Olivia K Stevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962080440 PECOS PAC ID: 5991102758 Enrollment ID: I20210921001418 |
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