NPI 1568634863

Urology Clinic of Tangipahoa

Organisation Urology Physician Hammond, LA

Practice location

Address: 2101 Robin Ave Suite 1, Hammond, LA 70403-5772
Phone: (985) 542-7766
Fax: (985) 542-1754

Authorised official

Name: Ralph Vincent Kidd
Title: Owner
Phone: (985) 542-7766

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD03442R (LA)

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Registry record

NPI: 1568634863
Entity type: Organization
NPI issued: 26 Mar 2008
Record last updated: 2 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.