Organization · NPI-2

Acceptance Kidmed Of La, LLC

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

NPI number1659552552
StatusActive
Last updated in NPPESNov 19, 2007

Details

NPI
1659552552
Entity type
Organization (NPI-2)
Legal business name
Acceptance Kidmed Of La, LLC
Organization subpart
No
Enumeration date
Nov 19, 2007
Last updated
Nov 19, 2007

Taxonomy and licenses

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

Practice location

2156 Wooddale Blvd
Suite 140
Baton Rouge, LA 70806-1403

Phone 225-928-5362 · Fax 225-928-5363

Mailing address

2156 Wooddale Blvd
Suite 140
Baton Rouge, LA 70806-1403

Phone 225-928-5362 · Fax 225-928-5363

Authorized official

Sharita Davis Acklin
Owner
2259285362

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