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

The Kidney Center of South Philadelphia LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1982095626

The Kidney Center of South Philadelphia LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1930 S Broad St Unit 7
Philadelphia, PA 19145-2328
Phone: (215) 463-3120
Fax: (215) 463-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1982095626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shari Cousins — Sr. Vp Of Clinical & Regulatory · (978) 922-3080
NPI enumeratedFebruary 17, 2015
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address1930 S Broad St, Unit 7, Philadelphia, PA 19145-2328

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