Miss Kristen L. Kidd PA-C
Physician Assistant in Youngstown, OH(View on Map)
Full Name
Miss Kristen Lynne Kidd PA-C
NPI Number
1992839575
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/15/2007
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
50-001735
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 636988
1044 BELMONT AVE
City
Cincinnati
Youngstown
State
OH
OH
Postal Code
45263-6988
44504-1006
Country
US
US
Telephone Number
(888) 940-2722
(330) 480-3709
Identifiers
Identifier
0084823
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/30/2015
Provider Address
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