Organization · NPI-2

Acceptance Kidmed Of Louisiana LLC

Medical Genetics, Ph.D. Medical Genetics · Baton Rouge, LA

NPI number1245463710
StatusActive
Last updated in NPPESAug 31, 2009

Details

NPI
1245463710
Entity type
Organization (NPI-2)
Legal business name
Acceptance Kidmed Of Louisiana LLC
Organization subpart
No
Enumeration date
Aug 31, 2009
Last updated
Aug 31, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical Genetics––Yes

Practice location

2708 Wooddale Blvd
Suite A2
Baton Rouge, LA 70805-7541

Phone 225-382-3920 · Fax 225-382-3925

Mailing address

2708 Wooddale Blvd
Suite A2
Baton Rouge, LA 70805-7541

Phone 225-382-3920 · Fax 225-382-3925

Authorized official

Sharita Davis Acklin
Owner
2253823920

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