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Acceptance Kidmed Of La LLC

Medical Genetics, Ph.D. Medical Genetics in Baton Rouge, LA. Organization (NPI-2).

NPI number1992072953
StatusActive
Last updated in NPPESNov 18, 2011

Details

NPI
1992072953
Entity type
Organization (NPI-2)
Legal business name
Acceptance Kidmed Of La LLC
Organization subpart
No
Enumeration date
Nov 18, 2011
Last updated
Nov 18, 2011

Taxonomy and licenses

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

Practice location

947 N Bon Marche Dr
107
Baton Rouge, LA 70806-8833

Phone 225-405-2874

Mailing address

947 N Bon Marche Dr
107
Baton Rouge, LA 70806-8833

Phone 225-405-2874

Authorized official

Sharita Davis Acklin
Administrator
2254052874

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