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Individual
MS. AMANDA KAY KIDDEY
Active
Individual
MS. AMANDA KAY KIDDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.026067
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11050431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385467
—
OH
Enumeration date
12/11/2019
Last updated
10/06/2026
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