ACCEPTANCE KIDMED OF LA LLC NPI 1992072953

NPI Information

NPI: 1992072953
Provider Name: ACCEPTANCE KIDMED OF LA LLC
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address: 947 N BON MARCHE DR
107
BATON ROUGE, LA
ZIP 70806
Phone: (225) 405-2874

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NPI Details

ACCEPTANCE KIDMED OF LA LLC is a medical genetics phd medical genetics in Baton Rouge, LA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. ACCEPTANCE KIDMED OF LA LLC NPI is 1992072953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

947 N BON MARCHE DR
107
BATON ROUGE, LA
ZIP 70806-833
Phone: (225) 405-2874

The provider's authorized official is Sharita Davis Acklin .
The authorized official title is Administrator and has the following contact phone number (225) 405-2874.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.

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
1	170100000X	Medical Genetics, Ph.D. Medical Genetics				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	LOUISIANA	TAX IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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