Individual
DR. JACOB F KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6144 AIRPORT BLVD, MOBILE, AL 36608
(251) 476-5050
(251) 450-2770
Mailing address
P.O. BOX 86144, MOBILE, AL 36689-6144
(251) 476-5050
(251) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LL29233
SC
Other
Enumeration date
10/27/2006
Last updated
01/20/2010
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