Kiddie West Pediatrics INC

NPI #1023087574 in Columbus, Ohio

Provider Information

NPI Number: 1023087574
Entity Type: Organization
Organization Name: Kiddie West Pediatrics INC
Primary Specialty: Pediatrics
Enumeration Date: Mar 16, 2006
Last Updated: Jul 16, 2009

Practice Location

Address: 4766 W BROAD ST
City: Columbus
State: Ohio
ZIP Code: 43228-1613
Phone: (614) 851-7337

Authorized Official

Name: DR. CARL R BACKES, D.O.
Title: PRESIDENT
Phone: (614) 851-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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