CHILDREN FIRST KIDMED LLC NPI 1285802785

NPI Information

  • NPI: 1285802785
  • Provider Name: CHILDREN FIRST KIDMED LLC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: CHILDREN FIRST KIDMED
  • CLIA Number: 19D1062665
  • Address: 1828 W THOMAS ST
    HAMMOND, LA
    ZIP 70401
  • Phone: (985) 419-2250

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NPI Details

CHILDREN FIRST KIDMED LLC is a pediatrics nurse practitioner in Hammond, LA. CHILDREN FIRST KIDMED LLC NPI is 1285802785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children First Kidmed.

The provider's business location address is:

1828 W THOMAS ST
HAMMOND, LA
ZIP 70401-958
Phone: (985) 419-2250
Fax: (985) 419-2252

The provider's authorized official is Pat Randolph Lee .
The authorized official title is Ped Nurse Practitioner and has the following contact phone number (985) 419-2250.

The CLIA number assigned to this NPI record is 19D1062665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsAP01814LOUISIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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