Organization
DDK, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D KIDDY DPM (OWNER)
(636) 281-8393
Entity
Organization
Contact information
Practice address
300 WINDING WOODS DR, SUITE 214, O FALLON, MO 63366-4771
(636) 281-8393
(636) 281-8393
Mailing address
300 WINDING WOODS DR, SUITE 214, O FALLON, MO 63366-4771
(636) 281-8393
(636) 281-8393
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/26/2008
Last updated
06/23/2015
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