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Arkansas Renal Group PA — NPI 1922769322, Russellville, AR | NPI Central

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NPI 1922769322

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Arkansas Renal Group PA

NPI 1922769322 · Nephrology Physician · Russellville, AR

Provider details

NPI number: 1922769322
Entity type: Organization
Primary specialty: Nephrology PhysicianAllopathic & Osteopathic Physicians
Parent organization: Arkansas Renal Grou PA
Organization subpart: Yes
Authorized official: Jerry Edgin, Chief Executive Officer(501) 624-6000

Specialties & taxonomies

Nephrology PhysicianPrimary207RN0300X
Allopathic & Osteopathic Physicians

Practice location

111 Skyline Dr

Russellville, AR 72801-3363

Phone: (501) 624-6000

Fax: (501) 321-0710

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

115 Wrights St Ste C

Hot Springs, AR 71913-6240

Other names (DBA / former)

Doing business as: Russellville Nephrology

Registry dates

Enumerated: 2022-01-07
Last updated: 2022-01-07
Certified: 2022-01-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.