Organization
TKMD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS B KIDNER MD (PRESIDENT)
31025891518
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 200E, LOS ANGELES, CA 90048-5901
(310) 289-1518
(310) 289-1526
Mailing address
8631 W 3RD ST, SUITE 200E, LOS ANGELES, CA 90048-5901
(310) 289-1518
(310) 289-1526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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