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Individual
DR. CHARLES F KIDD
Active
Individual
DR. CHARLES F KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46512020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340020435
MEDICARE RAILROAD
WI
05
—
34472100
—
WI
Enumeration date
03/09/2006
Last updated
05/02/2012
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