Individual
MS. AYESHA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., F.A.A.O
Contact information
Practice address
411 NORTH SECTION STREET, FAIRHOPE, AL 36532
(251) 990-3937
(251) 990-9990
Mailing address
P.O. BOX 2020, FAIRHOPE, AL 36533
(251) 990-3937
(251) 990-9990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C61-TA-904
AL
Other
Enumeration date
06/22/2011
Last updated
04/11/2018
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