Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1841510799 |
| LBN Legal business name | HUEY R KIDD DO PC |
| Authorized official | HUEY KIDD - (PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/02/2010 |
| Last updated | 01/08/2019 - About 7 years ago |
| Identifiers | n/a |
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