Provider Demographics
NPI:1639718562
Name:KIDS R US PEDIATRICS LLC
Entity Type:Organization
Organization Name:KIDS R US PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-931-5437
Mailing Address - Street 1:121 GOLFVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5473
Mailing Address - Country:US
Mailing Address - Phone:256-931-5437
Mailing Address - Fax:833-753-1386
Practice Address - Street 1:121 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5473
Practice Address - Country:US
Practice Address - Phone:256-931-5437
Practice Address - Fax:833-753-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty