Provider Demographics
NPI:1225529142
Name:KIDNEY EXPERTS PLLC
Entity Type:Organization
Organization Name:KIDNEY EXPERTS PLLC
Other - Org Name:THE KIDNEY EXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NEPHROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:JIYOUNG
Authorized Official - Last Name:LEE-MULAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-988-1199
Mailing Address - Street 1:1575 PARR AVE # B
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-3151
Mailing Address - Country:US
Mailing Address - Phone:731-286-1510
Mailing Address - Fax:
Practice Address - Street 1:1575 PARR AVE # B
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024
Practice Address - Country:US
Practice Address - Phone:731-286-1510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty