DR. Kevin Allen Kidder, D.D.S.

NPI #1992068860 in Port Allen, Louisiana

Provider Information

NPI Number: 1992068860
Entity Type: Individual
Name: DR. Kevin Allen Kidder, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 16, 2012
Last Updated: Jun 16, 2012

Practice Location

Address: 260 S ALEXANDER AVE
City: Port Allen
State: Louisiana
ZIP Code: 70767-3016
Phone: (225) 372-8716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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