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Individual

TAKAAKI KIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2711 S. ROUSE STE. F, PITTSBURG, KS 66762
(620) 232-9000
(620) 232-9005
Mailing address
2711 S. ROUSE STE. F, PITTSBURG, KS 66762
(620) 232-9000
(620) 232-9005

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-32899
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200568970A
KS
Enumeration date
07/20/2007
Last updated
01/15/2019
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