Provider Demographics
NPI:1932590460
Name:KIDNEY HEALTH GROUP INC
Entity Type:Organization
Organization Name:KIDNEY HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHWARZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:234-312-9318
Mailing Address - Street 1:1 PARK WEST BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4226
Mailing Address - Country:US
Mailing Address - Phone:234-312-9318
Mailing Address - Fax:234-312-9322
Practice Address - Street 1:1 PARK WEST BLVD STE 270
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4231
Practice Address - Country:US
Practice Address - Phone:234-312-9318
Practice Address - Fax:234-312-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty