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Organization

KALIDA MEDICAL ARTS, INC.

Active
Other names
Kidd & Horstman MD's Inc
Organization subpart
No

Provider details

NPI number
Authorized official
WESLEY KLIR MD (PRESIDENT)
(419) 532-3958
Entity
Organization

Contact information

Practice address
109 S BROAD ST, KALIDA, OH 45853
(419) 532-3958
(419) 532-2326
Mailing address
PO BOX 417, 109 SOUTH BROAD ST, KALIDA, OH 45853-0417
(419) 532-3958
(419) 532-2326

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049354
OH
207Q00000X
Family Medicine Physician
35075209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000025708
ANTHEM
01
000000185580
ANTHEM
05
0563322
OH
05
2196752
OH
01
289583671001
MEDICAL MUTUAL
01
293569311002
MEDICAL MUTUAL
01
CA3755
RAILROAD MEDICARE
01
CH3755
RAILROAD MEDICARE
Enumeration date
10/27/2005
Last updated
07/19/2023
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