Healthcare Provider Details

I. General information

NPI: 1346356672
Provider Name (Legal Business Name): NEPHROLOGY CONCEPTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11125 DUNN RD STE 410
SAINT LOUIS MO
63136
US

IV. Provider business mailing address

PO BOX 12441
SAINT LOUIS MD
63132
US

V. Phone/Fax

Practice location:
  • Phone: 314-741-4411
  • Fax: 314-741-4430
Mailing address:
  • Phone: 314-741-4411
  • Fax: 314-741-4430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBRA L FRENCHIE
Title or Position: OWNER
Credential: MD
Phone: 314-741-4411