Organization
KIDD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARON L. KIDD M.D. (DOCTOR/OWNER)
(317) 882-0136
Entity
Organization
Contact information
Practice address
373 MERIDIAN PARKE LN, SUITE C-1, GREENWOOD, IN 46142-9419
(317) 882-0136
(317) 882-3123
Mailing address
373 MERIDIAN PARKE LN, SUITE C-1, GREENWOOD, IN 46142-9419
(317) 882-0136
(317) 882-3123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325060A
—
IN
Enumeration date
05/09/2006
Last updated
07/12/2011
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