The need for deep molecular and spatial characterization of tissues is growing rapidly to study complex diseases and disorders, particularly in the context of relationships between the cellular and molecular architecture from single cells to functional and anatomical regions of tissue. The human kidney is composed of over 26 cell types that actively coordinate to form higher order structures, such as the nephron. It is not yet understood how these structures vary molecularly throughout a single organ or among organs within the human population. Towards this end, we have developed an extensive molecular and cellular atlas of the human kidney consisting of over 3 million cells comprising 75,000 functional units from 13 human patients, using a spatially registered and integrated suite of technologies consisting of imaging mass spectrometry, histological staining, autofluorescence microscopy, and multiplexed immunofluorescence to comprehensively probe centimeter-sized areas of tissue. Through this approach, the cellular organization and metabolomic profiles of glomeruli, proximal tubules, distal tubules, and collecting ducts were determined as well as their intra- and inter-patient variance. Relating these lipid profiles to canonical cell types allowed us to hypothesize the functional role of specific phospholipids that have not previously been described, particularly how they relate to differences in BMI and sex. These integrated data provide a valuable reference molecular atlas for kidney researchers and are publicly available through the NIH Human Biomolecular Atlas Program (https://portal.hubmapconsortium.org/).