Individual
DR. MILTON B KIDD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1500 NORTHWEST BLVD, FRANKLIN, LA 70538-3442
(337) 828-3651
Mailing address
1500 NORTHWEST BLVD, FRANKLIN, LA 70538-3442
(337) 828-3651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
753-087T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170534
—
LA
01
—
LA053
BLUE CROSS MORGAN CITY
LA
Enumeration date
10/13/2006
Last updated
10/19/2007
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