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Individual

DR. ROBERT B KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15770 PAUL VEGA MD DR, HAMMOND, LA 70403-1475
(985) 542-1226
(985) 542-2887
Mailing address
15770 PAUL VEGA MD DR, HAMMOND, LA 70403-1475
(985) 542-1226
(985) 542-2887

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15801
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1343510
LA
Enumeration date
05/01/2006
Last updated
06/10/2008
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