DULUTH KIDNEY SERVICES LLC
NPI 1972552156
Specialist in Duluth, MN

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since May 08, 2006

925 E SUPERIOR ST, SUITE 106, DULUTH, MN 55802(218) 249-6230(218) 249-6231 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Duluth Kidney Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DULUTH KIDNEY SERVICES LLC (NPI 1972552156) is a healthcare organization registered as a specialist in Duluth, Minnesota and active in the NPI registry since May 2006. The organization lists Sandy Popham, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1972552156

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDULUTH KIDNEY SERVICES LLC

Location Address925 E SUPERIOR ST, SUITE 106Duluth, MN 55802

Mailing Address925 E Superior St, Suite 106Duluth, MN 55802 · (218) 249-6230 · Fax (218) 249-6231

Phone(218) 249-6230

Fax(218) 249-6231

Organization SubpartNo

Authorized OfficialSandy PophamOwner Md · (218) 249-6230

Enumeration DateMay 8, 2006

Last NPPES UpdateNovember 11, 2008

✔ NPI 1972552156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

925 E SUPERIOR ST, Duluth, MN 55802

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Other Identifiers 5

Other04N86POMN · Blue Cross Mn

Medicaid462137900MN

Medicare ID-Type UnspecifiedC03691MN

Medicare OSCAR/certificationC03691MN

Other9831014Medica

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP