Organization
AYESHA C. KIDD, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYESHA C KIDD O.D. (OPTOMETRIST/MEMBER)
(251) 645-2991
Entity
Organization
Contact information
Practice address
7930 MOFFETT RD, SUITE A AND B, SEMMES, AL 36575-5490
(251) 645-2991
Mailing address
PO BOX 656, SEMMES, AL 36575-0656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C61-TA-904
AL
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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