Healthcare Provider Details

I. General information

NPI: 1548389141
Provider Name (Legal Business Name): KIDNEY HEALTH CLINIC,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GOODALE AVE E SUITE A
BATTLE CREEK MI
49017-2728
US

IV. Provider business mailing address

220 GOODALE AVE E SUITE A
BATTLE CREEK MI
49017-2728
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-0101
  • Fax: 269-964-9421
Mailing address:
  • Phone: 269-964-0101
  • Fax: 269-964-9421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE A ADAM
Title or Position: OWNER
Credential: M.D.
Phone: 269-964-0101