Organization · Type 2 NPI
Impact Physician Group Nephrology, LLC
Nephrology Physician · Lebanon, IN
NPI number
1003704875
Active
Practice location
1585 Perry Worth Rd
Lebanon, IN 46052-9635
Mailing address
21 Eastbrook Bnd Ste 218
Peachtree City, GA 30269-1546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | None listed |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5 other providers at this address
- Hickory Creek Healthcare Foundation, Inc.Skilled Nursing Facility Lebanon, IN NPI 1740214493
- Renpro Indiana LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Lebanon, IN NPI 1255971362
- Waters of Lebanon LLCSkilled Nursing Facility Lebanon, IN NPI 1629590310
- Adeyoola Alao, OTD, OTR/LOccupational Therapist Lebanon, IN NPI 1093307605
- Jessica Marie June, M.A., CCC-SLPSpeech-Language Pathologist Lebanon, IN NPI 1851566582
About NPI 1003704875
Impact Physician Group Nephrology, LLC's National Provider Identifier is 1003704875, issued on Jun 27, 2025. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Lebanon, IN. The record was last updated on Jul 28, 2025.