Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moss Street Kid Med LLC

Organization Clinic/Center · NPI 1336268184

Moss Street Kid Med LLC is a Clinic/Center in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1417A Moss St
Lafayette, LA 70501
Phone: (337) 291-2411
Fax: (337) 291-2412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (LA)

Record details

NPI number1336268184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desiree Richard — Onwer · (337) 291-2411
NPI enumeratedMarch 29, 2007
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address1417a Moss St, Lafayette, LA 70501-3654

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