Individual
MRS. CELIA LASKY KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2110 5TH ST N, COLUMBUS, MS 39705-2210
(662) 243-2435
(662) 328-7037
Mailing address
2110 5TH ST N, COLUMBUS, MS 39705-2210
(662) 243-2435
(662) 328-7037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
884020
MS
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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