# CHILDREN FIRST KIDMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children First Kidmed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285802785
- **Authorized official:** PAT RANDOLPH LEE NP (PED NURSE PRACTITIONER)
- **Authorized official phone:** (985) 419-2250

## Contact information

- **Practice address:** 1828 W THOMAS ST, HAMMOND, LA 70401-2958
- **Practice address phone:** (985) 419-2250
- **Practice address fax:** (985) 419-2252
- **Mailing address:** 1828 W THOMAS ST, HAMMOND, LA 70401-2958
- **Mailing address phone:** (985) 419-2250
- **Mailing address fax:** (985) 419-2252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | AP01814 | LA | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008