Individual
DR. BARON L. KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
373 MERIDIAN PARKE LN, SUITE C-1, GREENWOOD, IN 46142-9420
(317) 882-0136
Mailing address
373 MERIDIAN PARKE LN, SUITE C-1, GREENWOOD, IN 46142-9420
(317) 882-0136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01027794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065070A
—
IN
Enumeration date
05/09/2006
Last updated
07/29/2011
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