Kids Klinic LLC
NPI #1215277652 in Carriere, Mississippi
Provider Information
- NPI Number
- 1215277652
- Entity Type
- Organization
- Organization Name
- Kids Klinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Feb 21, 2013
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 200 COUNTRY CLUB RD
- City
- Carriere
- State
- Mississippi
- ZIP Code
- 39426-9037
- Phone
- (601) 799-4777
Authorized Official
- Name
- DR. AHMAD HAIDAR, MD
- Title
- OWNER
- Phone
- (601) 799-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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