Organization · Type 2 NPI
Moss Street Kid Med LLC
Clinic/Center · Lafayette, LA
NPI number
1336268184
Active
Practice location
1417A Moss Street
Lafayette, LA 70501
Fax (337) 291-2412
Mailing address
1417A Moss St
Lafayette, LA 70501-3654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1336268184
Moss Street Kid Med LLC's National Provider Identifier is 1336268184, issued on Mar 29, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lafayette, LA. The record was last updated on Mar 19, 2025.