Individual provider · Type 1 NPI

Benjamin Glenn Kidder Jr., MD

Neurology Physician · Baton Rouge, LA

NPI number 1114259975 Active

Practice location

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685

Call (225) 769-2200 Map

Fax (225) 768-2185

Mailing address

PO Box 98509
Baton Rouge, LA 70884-9509

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X203585 (LA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1114259975

Benjamin Glenn Kidder Jr., MD's National Provider Identifier is 1114259975, issued on Feb 4, 2010. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 23, 2010.