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

Kidney Care Clinic PLLC

Organization Pediatric Nutrition Registered Dietitian · NPI 1932779170

Kidney Care Clinic PLLC is a Pediatric Nutrition Registered Dietitian in Cookeville, Tennessee. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Phone: (931) 650-0076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 Wilson Ave, Tullahoma, TN 37388-3353 — (931) 455-2525

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1932779170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zaid Brifkani — Authorized Official · (931) 650-0076
NPI enumeratedJune 29, 2021
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address427 N Willow Ave Ste C, Cookeville, TN 38501-2354

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