# ROBERT A KIDDY III

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kiddy Foot & Ankle Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316728397
- **Authorized official:** DR. ROBERT ALFRED KIDDY III DPM (OWNER)
- **Authorized official phone:** (509) 528-3668

## Contact information

- **Practice address:** 8479 W CLEARWATER AVE, KENNEWICK, WA 99336-8628
- **Practice address phone:** (509) 581-2830
- **Practice address fax:** (509) 581-2830
- **Mailing address:** 3500 W. COURT ST., P.O. BOX 4920, PASCO, WA 99301-4920
- **Mailing address phone:** (509) 528-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 09/05/2024