Individual
HUEY RANDOLPH KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
33650 HIGHWAY 43, THOMASVILLE, AL 36784-3305
(334) 636-5311
(334) 636-2280
Mailing address
24B CAMDEN BYP, CAMDEN, AL 36726-1770
(334) 882-1919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-0546
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541393401
—
AL
Enumeration date
09/19/2005
Last updated
07/31/2023
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