Individual
DR. R. VINCENT KIDD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 ROBIN AVE, STE 1, HAMMOND, LA 70403
(985) 542-7766
(985) 542-1754
Mailing address
2101 ROBIN AVE, SUITE 1, HAMMOND, LA 70403-5772
(985) 542-7766
(985) 542-1754
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
03442R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145122
—
LA
Enumeration date
10/06/2006
Last updated
06/28/2018
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