Ayesha C. Kidd, O.d., LLC

NPI #1386991271 in Semmes, Alabama

Provider Information

NPI Number: 1386991271
Entity Type: Organization
Organization Name: Ayesha C. Kidd, O.d., LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 9, 2012
Last Updated: Aug 9, 2012

Practice Location

Address: 7930 MOFFETT RD
Address 2: SUITE A AND B
City: Semmes
State: Alabama
ZIP Code: 36575-5490
Phone: (251) 645-2991

Authorized Official

Name: DR. AYESHA C KIDD, O.D.
Title: OPTOMETRIST/MEMBER
Phone: (251) 645-2991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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