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1114259975
BENJAMIN GLENN KIDDER
BATON ROUGE, LA
NPI
1114259975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: LA 203585)
Enumeration Date
2010-02-04
Last Update Date
2010-03-23
Business Address
BENJAMIN GLENN KIDDER MD
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810-1685
Phone number: 225-769-2200
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Mailing Address
BENJAMIN GLENN KIDDER MD
PO BOX 98509
BATON ROUGE, LA 70884-9509
Phone number: 225-769-2200
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