KIDS AVENUE PEDIATRICS LLC

BRANDON, MS
NPI1154092690
Entity TypeOrganization
Authorized ContactAPRIL DAWN RANDLE
Administrator
601-941-0699
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
KIDS AVENUE PEDIATRICS LLC
1061 LAKE VILLAGE CIR STE D1
BRANDON, MS 39047-6723
Phone number: 601-941-0699
Mailing Address
KIDS AVENUE PEDIATRICS LLC
1061 LAKE VILLAGE CIR STE D1
BRANDON, MS 39047-6723
Phone number: 601-941-0699