| NPI | 1194318469 | 
|---|---|
| Doing Business As | KID MED SOUTH PEDIATRICS | 
| Entity Type | Organization | 
| Authorized Contact | LATOYA LEONARD-HUGHES Fnp/Owner 225-978-5909  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208000000X Pediatrics | 
| Enumeration Date | 2021-02-17 | 
| Last Update Date | 2024-05-21 |