Acceptance Kidmed of La, LLC
NPI #1659552552 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1659552552
- Entity Type
- Organization
- Organization Name
- Acceptance Kidmed of La, LLC
- Primary Specialty
- Medical Genetics, Ph.D. Medical Genetics
- Enumeration Date
- Nov 19, 2007
- Last Updated
- Nov 19, 2007
Practice Location
- Address
- 2156 WOODDALE BLVD
- Address 2
- SUITE 140
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70806-1403
- Phone
- (225) 928-5362
Authorized Official
- Name
- MRS. SHARITA DAVIS ACKLIN
- Title
- OWNER
- Phone
- (225) 928-5362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
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