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Individual
TELIKA S KIDD
Active
Individual
TELIKA S KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0184540
OH
251E00000X
Home Health Agency
0184540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184540
—
OH
Enumeration date
09/13/2021
Last updated
12/10/2024
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