Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Diabetes Center LLC 4

Organization Nephrology Physician · NPI 1821887944

Interventional Diabetes Center LLC 4 is a Nephrology Physician in Kenton, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

440 S Poplar St
Kenton, TN 38233-3622
Phone: (901) 791-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Nephrology Physician Taxonomy 207RN0300X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1821887944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurice Hampton — Owner · (901) 791-1711
NPI enumeratedMay 5, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address440 S Poplar St, Kenton, TN 38233-3622