Mr. Robert Toms Kidnie
Family Doctor - Sports Medicine
2500 N State St Dept Of Emergency Medicine
Jackson
, Mississippi 39216-3921
Mr. Robert Toms Kidnie
Family Doctor - Sports Medicine
2500 N State St Dept Of Emergency Medicine
Jackson
, Mississippi 39216-3921
(601) 815-5795
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mr. Robert Toms Kidnie
- 2500 N State St Dept Of Emergency Medicine
- Jackson, MS
- Zip : 39216
- Fax : (601) 815-5795
- Phone : (443) 898-3859
Second Address
- Mr. Robert Toms Kidnie
- 2500 N State St Dept Of Emergency Medicine
- Jackson, MS
- Zip : 39216-3921
- Fax : (601) 815-5795
- Phone : (443) 898-3859
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FAQs
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Is Mr. Robert Toms Kidnie a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 29103 | MS |
National Provider Identifier
| NPI | 1073006052 |
|---|---|
| Provider Name | Mr. Robert Toms Kidnie |
| First Address | Jackson, MS 39216 |
| Second Address | Jackson, MS 39216-3921 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2018 |
| Last Update Date | 28/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.