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Individual

DR. ROBERT ALFRED KIDDY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8479 W CLEARWATER AVE, KENNEWICK, WA 99336-8628
(509) 581-2830
(509) 581-2832
Mailing address
PO BOX 4920, PASCO, WA 99302-4920
(509) 581-2830
(509) 581-2832

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
21893889
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60305797
WA

Other

Enumeration date
06/30/2009
Last updated
09/05/2024
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