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Contact Information

GENA R KIDD, MD
1400 TEAL RD
SUITE 8
LAFAYETTE, IN47905-2463
 Phone: 765-477-2020
 Fax: 765-477-8200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GENA R KIDD · (Female)

NPI Number 1922072339
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 05/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01054602A
  • IN Medicaid 200349180
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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